| NPI | 1578736864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M POLK-PRIMM Executive Director 402-346-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE SATC 067) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |