Organization
GB12, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN D BERNADT NP (CEO)
(402) 310-0854
Entity
Organization
Contact information
Practice address
380 BROADWAY ST, TECUMSEH, NE 68450-2454
(402) 310-0854
Mailing address
380 BROADWAY ST, TECUMSEH, NE 68450-2454
(402) 310-0854
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
09/12/2024
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