| NPI | 1639486343 |
|---|---|
| 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 | 103T00000X Psychologist |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 163WC1500X Registered Nurse Community Health | |
| 261QC1500X Clinic/Center Community Health | |
| 101YM0800X Counselor Mental Health | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2021-05-10 |