NPI | 1578614988 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLE J BOYE Chief Executive Officer 402-341-5128 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 80) |
Additional Taxonomies | 207Q00000X Family Medicine |
261QA0600X Clinic/Center, Adult Day Care | |
Enumeration Date | 2007-01-13 |
Last Update Date | 2022-08-24 |