| NPI | 1811266695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BARR Business Office Manager 402-457-1200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |