| NPI | 1770738130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MICHAEL NENEMAN President/Owner 402-496-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NE 1532) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2010-01-28 |