| NPI | 1902175755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI FORD-WOLFGRAM CEO 402-562-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NE HC036) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2023-08-30 |