Organization
RENOVATIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER NINA ATWOOD HEREDIA B.A. (OWNER CEO)
(402) 320-5808
Entity
Organization
Contact information
Practice address
16920 PATTERSON DR, OMAHA, NE 68135-2623
(402) 320-5808
(402) 502-4319
Mailing address
16920 PATTERSON DR, OMAHA, NE 68135-2623
(402) 320-5808
(402) 502-4319
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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