| NPI | 1902199854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED PUTNAM Owner/Director 308-995-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 8749) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |