# COOPER VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578632733
- **Authorized official:** MS. SONJA SUE MCKAY (BILLING COORDINATOR)
- **Authorized official phone:** (402) 457-1398

## Contact information

- **Practice address:** 8502 MORMON BRIDGE RD, OMAHA, NE 68152-2150
- **Practice address phone:** (402) 457-1398
- **Practice address fax:** (402) 457-1405
- **Mailing address:** 8502 MORMON BRIDGE RD, PO BOX 12150, OMAHA, NE 68152-2150
- **Mailing address phone:** (402) 457-1398
- **Mailing address fax:** (402) 457-1405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | MHC016 | NE | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 08/22/2020