| NPI | 1467490433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA STRATMAN Administrator 402-489-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC028) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-02-10 |