| NPI | 1962652958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB VAVRA Administrative Coord 308-237-5951 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2014-03-04 |