Organization
FAMILY DEVELOPMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RAHAMAN (CHIEF EXECUTIVE OFFICER)
(402) 880-1484
Entity
Organization
Contact information
Practice address
4611 S 96TH ST, OMAHA, NE 68127-1202
(402) 880-1484
Mailing address
4611 S 96TH ST, OMAHA, NE 68127-1202
(402) 880-1484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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