| NPI | 1780267112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARTIN Psychiatric Nurse Practitioner 402-769-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |