Organization
NEBRASKA URBAN INDIAN HEALTH COALITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M POLK-PRIMM PH.D, LMHP (EXECUTIVE DIRECTOR)
(402) 346-0902
Entity
Organization
Contact information
Practice address
2240 LANDON COURT, OMAHA, NE 68102
(402) 346-0902
(402) 342-5290
Mailing address
2240 LANDON COURT, OMAHA, NE 68102
(402) 346-0902
(402) 342-5290
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SATC 067
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025228500
—
NE
Enumeration date
04/08/2008
Last updated
04/08/2008
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