| NPI | 1013125244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY L. HAVLICEK President And CEO 402-488-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NE 110806) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2008-04-02 |