| NPI | 1548466535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MARK HIMES CEO 308-631-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CO 41631) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |