| NPI | 1376189506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT M RICHMOND President 402-727-1610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |