| NPI | 1336693498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SENIOR Billing Admin 308-762-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110591) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |