Organization
PRIME HOME DEVELOPMENTAL DISABILITIES SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA KATHRYN BOJANSKI (CFO)
(402) 932-0072
Entity
Organization
Contact information
Practice address
6818 GROVER ST STE 200, OMAHA, NE 68106-3632
(402) 932-0072
(402) 932-0072
Mailing address
6818 GROVER ST STE 200, OMAHA, NE 68106-3632
(402) 932-0072
(402) 932-0072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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