| NPI | 1962737791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE HALLEY Office Manager 402-932-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 38495) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2010-02-17 |