NPI | 1962944207 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY R KROPATSCH Owner 308-675-1760 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111923) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2023-07-27 |