Organization
CAITLYN GLISSMEYER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN GLISSMEYER (BUSINESS OWNER)
(435) 452-1583
Entity
Organization
Contact information
Practice address
3401 N 191ST AVE, ELKHORN, NE 68022-3350
(402) 915-8900
Mailing address
3401 N 191ST AVE, ELKHORN, NE 68022-3350
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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