| NPI | 1962089391 |
|---|---|
| Other Name | TEEN AND YOUNG ADULT CENTER AT BENSON |
| Entity Type | Organization |
| Authorized Contact | TARSHA JACKSON Chief Financial Officer 402-457-1215 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |