| NPI | 1467779330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J. RIDDER President 308-234-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 338) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |