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Organization
GONZALEZ MENTAL HEALTH THERAPY SERVICES
Active
Organization
GONZALEZ MENTAL HEALTH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA ADRIANA CASTRO PLMHP (MENTAL HEALTH THERAPIST)
(402) 516-2230
Entity
Organization
Contact information
Practice address
1941 S 42ND ST STE 416, OMAHA, NE 68105-2945
(402) 516-2230
Mailing address
1941 S 42ND ST STE 416, OMAHA, NE 68105-2945
(402) 516-2230
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
10239
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10239
STATE OF NEBRASKA MENTAL HEALTH
NE
Enumeration date
06/12/2017
Last updated
06/16/2018
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