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Organization

BEHAVEN KIDS-LINCOLN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY KATHLEEN BEECHAM (CONSULTANT)
(402) 676-2069
Entity
Organization

Contact information

Practice address
1145 HIGH ST, LINCOLN, NE 68502-4440
(402) 423-6464
Mailing address
1145 HIGH ST, LINCOLN, NE 68502-4440
(402) 423-6464

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CDHS201301
NE

Other

Enumeration date
08/05/2013
Last updated
08/05/2013
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