| NPI | 1972642833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA RICHARDS Executive Director 308-635-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE SATC062) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-02-10 |