Organization
SPECIALIZED OUTPATIENT SERVICES
Active
Parent organization
SPECIALIZED OUTPATIENT SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALIZED OUTPATIENT SERVICES LLC
Authorized official
CYNTHIA L KISSACK LIMHP (SUPERVISOR)
(308) 379-8619
Entity
Organization
Contact information
Practice address
1811 W 2ND STREET, SUITE 450, GRAND ISLAND, NE 68803
(308) 379-8619
(308) 675-2690
Mailing address
1811 W 2ND STREET, SUITE 450, GRAND ISLAND, NE 68803
(308) 379-8619
(308) 675-2690
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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