| NPI | 1801637459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA JANE PUTNAM Health Care Administrator 402-479-5630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |