| NPI | 1841075355 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER BOLLING Student Services Secretary 402-461-7578 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 163WS0200X Registered Nurse, School | 
| Enumeration Date | 2023-08-31 | 
| Last Update Date | 2023-08-31 |