| NPI | 1548866064 |
|---|---|
| Doing Business As | JOSE GARY NADALA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER WITZKE-KONRADI Manager 402-474-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-06-22 |