NPI | 1710917448 |
---|---|
Former Legal Business Name | PREMIER PSYCHIATRIC GROUP, LLC |
Entity Type | Organization |
Authorized Contact | WALTER J. DUFFY Owner/CEO 402-476-6060 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 207Q00000X Family Medicine |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2022-07-21 |