| NPI | 1386234532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J EALY President 308-627-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |