| NPI | 1447799325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLETTE WHEELER Self 402-202-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NE 111358) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |