| NPI | 1831596295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA MACAULEY Owner 402-309-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111027) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2021-02-02 |