| 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 |