NPI | 1932156114 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD LEE MEYER CEO 402-470-5424 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1223D0001X Dentist, Dental Public Health | |
1223G0001X Dentist, General Practice (Licence: NE HC039) | |
207Q00000X Family Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2006-05-31 |
Last Update Date | 2025-01-27 |