| NPI | 1922611714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BRESSMAN Officer/Authorized Official 402-779-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2023-01-05 |