| NPI | 1831898469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SKOLKIN CEO 402-502-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |