| NPI | 1891875175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA P WOLFE Board Of Managers 402-484-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC022) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-10-24 |