| NPI | 1417912114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DAUBERT Chief Financial Officer 402-552-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-06-10 |