| NPI | 1831278993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLATOKUNBO OLUFUNMIKE AWODELE Medical Director 402-505-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 21436) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-10-03 |