Organization
NEBRASKA URBAN INDIAN HEALTH COALITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEE TICKNOR AAS, PLADC (OUTPATIENT MARKETING COORDINATOR)
(402) 346-0902
Entity
Organization
Contact information
Practice address
2240 LANDON CT, OMAHA, NE 68102-2414
(402) 346-0902
(402) 342-5290
Mailing address
10912 V ST, OMAHA, NE 68137-3730
(402) 614-0585
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
P-594
NE
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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