| NPI | 1548560584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WHITE-VIDLAK Ower/Pres. 308-630-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 605) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |