NPI | 1467818666 |
---|---|
Doing Business As | CHARLES DREW HOMELESS CLINIC |
Entity Type | Organization |
Authorized Contact | TARSHA DENISE JACKSON Chief Financial Officer 402-457-1215 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 363A00000X Physician Assistant |
363LC1500X Nurse Practitioner Community Health | |
Enumeration Date | 2016-01-05 |
Last Update Date | 2021-03-19 |