# PRO CARE MENTAL HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356885024
- **Authorized official:** DEAN A LIST APRN (OWNER)
- **Authorized official phone:** (402) 980-1697

## Contact information

- **Practice address:** 421 S 243RD ST, WATERLOO, NE 68069-4704
- **Practice address phone:** (402) 980-1697
- **Practice address fax:** (402) 896-3695
- **Mailing address:** 421 S 243RD ST, WATERLOO, NE 68069-4704
- **Mailing address phone:** (402) 980-1697
- **Mailing address fax:** (402) 896-3695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 110412 | NE | Yes |

## Other

- **Enumeration date:** 12/14/2016
- **Last updated:** 12/14/2016