Organization
A SAFE PLACE TO LAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADRA OMEROVIC (CREDENTIALING)
(402) 421-1182
Entity
Organization
Contact information
Practice address
4719 PRESCOTT AVE, LINCOLN, NE 68506-5456
(402) 235-8184
Mailing address
4719 PRESCOTT AVE, LINCOLN, NE 68506-5456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100893757
—
NE
Enumeration date
06/14/2019
Last updated
06/14/2019
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