| NPI | 1447316757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN JOYCE SANDELL Assistant Office Manager 402-476-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 301 & 397) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-06-26 |