| NPI | 1295879559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KLITZKE Business Manager 402-488-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2015-01-06 |