| NPI | 1598821001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE BOURLAND Therapist 308-398-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 7938) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |