| NPI | 1790107753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DOUGLAS NEVE President & Executive Director 402-614-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |