Organization
TELECARE REGION 6 RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HUERTA (LPN)
(402) 885-3363
Entity
Organization
Contact information
Practice address
819 DORCAS ST, OMAHA, NE 68108-1137
(402) 342-4411
Mailing address
8507 S 46TH AVE, BELLEVUE, NE 68157-2629
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
21147
NE
Other
Enumeration date
01/14/2010
Last updated
06/22/2010
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