| NPI | 1700031028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE M HAEBERLE Medical Director 308-865-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NE 19872) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |