Organization
SEVA BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS EGBUNIKE (EXECUTIVE DIRECTOR)
(470) 202-4404
Entity
Organization
Contact information
Practice address
421 S WELCH AVE, NORTH PLATTE, NE 69101-5776
(470) 202-4404
Mailing address
421 S WELCH AVE, NORTH PLATTE, NE 69101-5776
(470) 202-4404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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