Organization
OLLIE WEBB CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ACKERMANN (EXECUTIVE DIRECTOR)
(402) 334-6522
Entity
Organization
Contact information
Practice address
1941 S 42ND ST STE 122, OMAHA, NE 68105-2942
(402) 342-4418
(402) 342-4857
Mailing address
1941 S 42ND ST STE 122, OMAHA, NE 68105-2942
(402) 342-4418
(402) 342-4857
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470761256
—
NE
05
—
59127050
—
NE
Enumeration date
11/29/2018
Last updated
11/29/2018
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