| NPI | 1639930530 |
|---|---|
| Other Name | NONPROFIT |
| Entity Type | Organization |
| Authorized Contact | VICTORIA MARIE WALENZ Office Manager 402-507-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |