| NPI | 1679210769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STONEY VANCE CEO 308-274-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 251X00000X Supports Brokerage | |
| 261QE0002X Clinic/Center Emergency Care | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 333300000X Emergency Response System Companies | |
| 341600000X Ambulance | |
| 3416L0300X Ambulance Land Transport | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |