| NPI | 1750619516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M. FRICKE Manager 402-515-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 3090) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |