| NPI | 1295105112 |
|---|---|
| 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 |