Organization
BEHAVEN KIDS-OMAHA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KATHLEEN BEECHAM (CONSULTANT)
(402) 676-2069
Entity
Organization
Contact information
Practice address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 923-4373
Mailing address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CDHS201302
NE
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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