| NPI | 1598631814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI BRUEGGEMANN Admin Services Director 308-237-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |