| NPI | 1417471764 |
|---|---|
| Former Legal Business Name | PREMIER PSYCHIATRIC GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | HEIDI BOWLIN Revenue Cycle Manager 402-476-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |