| NPI | 1467592063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARYN WOHLERS Director 308-635-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 89) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |