NPI | 1669063319 |
---|---|
Entity Type | Organization |
Authorized Contact | RISE ELIZABETH MITCHELL Owner 402-214-1230 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-01-26 |
Last Update Date | 2021-05-18 |