Organization
BLAH2SISU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FISHER (OWNER)
(308) 660-3147
Entity
Organization
Contact information
Practice address
921 W 10TH ST, NORTH PLATTE, NE 69101-2823
(308) 660-3147
Mailing address
921 W 10TH ST, NORTH PLATTE, NE 69101-2823
(308) 660-3147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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