| NPI | 1649653551 |
|---|---|
| Other Name | CHARLES DREW HEALTH CENTER INC AT ST. RICHARDS |
| Entity Type | Organization |
| Authorized Contact | TARSHA DENISE JACKSON CFO 402-457-1215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 261QC1500X Clinic/Center, Community Health | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2021-03-30 |