| NPI | 1639368723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WENTE Medical Director 402-987-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NE 201001) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2013-02-19 |