NPI | 1144690074 |
---|---|
Doing Business As | TEEN AND YOUNG ADULT HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ANDREA M SKOLKIN Chief Executive Officer 402-502-8842 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NE HC018) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2015-10-06 |