| NPI | 1740491786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI FORD-WOLFGRAM CEO 402-562-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-09-21 |