| NPI | 1417324542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY RAE TETEN President 402-713-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111682) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2022-05-19 |