| NPI | 1730315326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT COLOGNE Owner/Sole Member 402-672-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MO 2006005276) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2006005276) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2012-12-03 |