| NPI | 1083945554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAREE JO FEJFAR-JEDLICKA President/Owner 402-606-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NE 1752) |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2013-06-03 |