| NPI | 1700306339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JEAN PAUL Owner 402-800-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NE 17824) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2017-06-24 |