Organization
SANTA MONICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KAY DAVIS NSAP,LADC (EXECUTIVE DIRECTOR)
(402) 558-7088
Entity
Organization
Contact information
Practice address
130 N 39TH ST, OMAHA, NE 68131-2307
(402) 558-7088
(402) 558-7133
Mailing address
130 N 39TH ST, OMAHA, NE 68131-2307
(402) 558-7088
(402) 558-7133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SATC052
NE
Other
Enumeration date
06/12/2007
Last updated
07/14/2008
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