| NPI | 1407267305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN M KUPSINEL Director 402-213-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IA 06785) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |