| NPI | 1982081998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE R SHIMMIN Owner 308-530-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 4183) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |