| NPI | 1720335284 |
|---|---|
| Other Name | CHARLES DREW HEALTH CENTER, INC AT JACKSON TOWER |
| Doing Business As | CHARLES DREW HEALTH CENTER, INC AT JACKSON TOWER |
| 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 | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 261QC1500X Clinic/Center, Community Health | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2021-03-19 |