| NPI | 1437449030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B STRIEBEL Manager 308-520-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 311) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |