| NPI | 1134426661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J RAYMAN Executive Director 402-562-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NE HC036) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |