| NPI | 1770801789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO HANIGAN M.D. 402-504-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 20614) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |