Organization
TC 2A LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTOPHER ANTHONY MILLER MSAC (CEO)
(913) 522-1591
Entity
Organization
Contact information
Practice address
3347 AMES AVE, OMAHA, NE 68111-2703
(913) 522-1591
Mailing address
3347 AMES AVE, OMAHA, NE 68111-2703
(913) 522-1591
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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