| NPI | 1730501602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI F GARDNER Owner 402-476-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111008) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2023-10-12 |