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Organization
COMPLETELY KIDS
Active
Organization
COMPLETELY KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HEASTON (PROGRAM DIRECTOR)
(402) 397-5809
Entity
Organization
Contact information
Practice address
2566 SAINT MARYS AVE, OMAHA, NE 68105-1655
(402) 397-5809
Mailing address
2566 SAINT MARYS AVE, OMAHA, NE 68105-1655
(402) 397-5809
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/22/2020
Last updated
11/27/2023
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