| 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 | 2021-03-31 |