| NPI | 1023365582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE STRINGFELLOW Chief Financial Officer 402-457-1215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 261QC1500X Clinic/Center Community Health | |
| 363LC1500X Nurse Practitioner Community Health | |
| 363LC1500X Nurse Practitioner Community Health | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-07-11 |