Organization
COUNCILL PSYCHIATRIC CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH G COUNCILL III APRN (CEO)
(402) 676-9232
Entity
Organization
Contact information
Practice address
1102 ROLAND DR, PAPILLION, NE 68046-6167
(402) 676-9232
Mailing address
919 GALVIN RD S, SUITE A, BELLEVUE, NE 68005-2286
(402) 881-0678
(402) 625-0664
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
55568
NE
261QM0855X
Adolescent and Children Mental Health Clinic/Center
55568
NE
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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