| NPI | 1649489832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P HENRY Administrator 402-941-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC052) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-07-23 |