Organization
CENTERPOINTE
Active
Other names
Community Support SA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOPHER HANSEN J.D. (EXECUTIVE DIRECTOR)
(402) 475-8717
Entity
Organization
Contact information
Practice address
1000 S 13TH ST, LINCOLN, NE 68508-3533
(402) 475-5161
(402) 475-3300
Mailing address
2633 P ST, LINCOLN, NE 68503-3528
(402) 475-8717
(402) 475-5683
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025213000
—
NE
Enumeration date
02/17/2011
Last updated
02/17/2011
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