| NPI | 1164735759 |
|---|---|
| Other Name | LIBERTY ELEMENTARY SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREA M. SKOLKIN CEO 402-502-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NE HC018) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2023-01-26 |