| NPI | 1447518907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD STULL President 402-490-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NE 19176) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |