NPI | 1518478817 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS Z MAXSON Owner 308-233-0977 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 667) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2017-10-13 |