Organization
CHAIN BREAKER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA KAY GOODRICH LADC (SUBSTANCE ABUSE COUNSELOR)
(402) 237-7482
Entity
Organization
Contact information
Practice address
1941 S 42ND ST STE 402D, OMAHA, NE 68105-2944
(402) 237-7482
Mailing address
2410 S 48TH AVE, OMAHA, NE 68106-3225
(402) 237-7482
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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