| NPI | 1578614988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC PARRISH Chief Financial Officer 402-341-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE 80) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2024-07-15 |