Organization
KVC BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY AJUOGA (IN HOME SUPERVISOR)
(402) 498-4717
Entity
Organization
Contact information
Practice address
11550 I ST, 100, OMAHA, NE 68137-1262
(402) 498-4714
Mailing address
11550 I ST, 100, OMAHA, NE 68137-1262
(402) 498-4714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NE
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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