Organization
COLEGROVE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL COLEGROVE (OWNER)
(402) 562-6767
Entity
Organization
Contact information
Practice address
1354 27TH AVE STE 109, COLUMBUS, NE 68601-4961
(402) 562-6767
Mailing address
1354 27TH AVE STE 109, COLUMBUS, NE 68601-4961
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2761
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025520800
—
NE
Enumeration date
07/18/2007
Last updated
02/01/2008
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