| NPI | 1952330649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MAUREEN SKOLKIN CEO 402-502-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NE HC018) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-03-10 |