Individual
BROOKLYN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6904 S 74TH ST, LA VISTA, NE 68128-2206
(402) 319-4027
Mailing address
6904 S 74TH ST, LA VISTA, NE 68128-2206
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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