| NPI | 1265286900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SALBER Operations Director 308-675-4222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |