Organization
RENEWED VISION COUNSELING AND DEVELOPMENTAL DISABILITY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MARSHALL PLMHP (OWNER)
(531) 876-7455
Entity
Organization
Contact information
Practice address
4610 S. 133RD ST, SUITE 106, OMAHA, NE 68137-1133
(402) 275-6413
Mailing address
4642 S. 132ND ST, OMAHA, NE 68137-1764
(531) 876-7455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/21/2020
Last updated
02/26/2025
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