NPI | 1932493822 |
---|---|
Doing Business As | CHARLES DREW HEALTH CENTER AT CAMPUS FOR HOPE |
Entity Type | Organization |
Authorized Contact | TARSHA DENISE JACKSON Chief Financial Officer 402-457-1215 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QC1500X Clinic/Center, Community Health | |
261QC1500X Clinic/Center, Community Health | |
363A00000X Physician Assistant | |
363LC1500X Nurse Practitioner, Community Health | |
Enumeration Date | 2011-06-08 |
Last Update Date | 2021-03-19 |