Hollist Treatment For Adolescents And Families

NPI 1003078437 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1003078437
Enumeration Date 06/26/2008
Last Updated 06/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CODY STONEWALL CODY
Position PRESIDENT
Phone (402) 202-0577
Fax (402) 438-5330
Practice Location
2111 W MULBERRY ST
LINCOLN NE, 68522-1421, US
Phone (402) 202-0577
Fax (402) 438-5330
Business Location
2111 W MULBERRY ST
LINCOLN NE, 68522-1421, US
Phone (402) 202-0577
Fax (402) 438-5330
Toxanomy
Taxonomy Code 251S00000X
License State Nebraska
License Number 272
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According to our database, Hollist Treatment For Adolescents And Families NPI is 1003078437, taxonomy code is 251S00000X and license number is 272, license state is located at Nebraska. Hollist Treatment For Adolescents And Families physically located at 2111 W Mulberry St, Lincoln NE, 68522-1421. NPI Number 1033115704 has the healthcare provider type.

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1003078437 NPI number is provided on an as is basis without warranty of any kind. 1003078437 is maintained by the National Plan & Provider Enumeration System. The contents of Hollist Treatment For Adolescents And Families are for informational purposes only.