| NPI | 1578113130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA K CLINKENBEARD President 402-804-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2025-09-25 |