| NPI | 1740681832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M RIEB Contract Service Administrator 402-738-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |