| NPI | 1215985601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KAY DILTS Administrator 402-330-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC005) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-07-11 |