NPI | 1578113130 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA K CLINKEMBEARD 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 | 2024-11-26 |