Organization
RYAN MOSELEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MOSELEY (SOLE PROP)
(402) 680-0548
Entity
Organization
Contact information
Practice address
11907 ARBOR ST, STE E, OMAHA, NE 68144-3002
(402) 680-0548
Mailing address
1918 N 151ST PLZ, OMAHA, NE 68154-1062
(402) 680-0548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10232
NE
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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