| NPI | 1831635390 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH NELSON Owner 402-382-3555  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NE 111402)  | 
| Enumeration Date | 2017-01-09 | 
| Last Update Date | 2018-08-07 |