| NPI | 1134613979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BRESSMAN Officer/Authorized Official 402-779-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-02-09 |