| NPI | 1194106997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT BENJI KITAGAWA Medical Director 308-660-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: ND 38,708,300) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2016-02-15 |