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Organization

SUMMIT CARE AND WELLNESS TREATMENT AND COUNSELING, PC

Active
Parent organization
SUMMIT CARE AND WELLNESS TREATMENT AND COUNSELING, PC
Other names
Summit Life Recovery
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMIT CARE AND WELLNESS TREATMENT AND COUNSELING, PC
Authorized official
MS. NANETTE GINGERY LMHP, LPC, LADC, ACC (PRESIDENT)
(402) 435-2273
Entity
Organization

Contact information

Practice address
9300 WAGON TRAIN RD, HICKMAN, NE 68372-9877
(402) 792-0097
(402) 792-0098
Mailing address
9300 WAGON TRAIN RD, HICKMAN, NE 68372-9877
(402) 792-0097
(402) 792-0098

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SATC149
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578691333
NPI FOR OUTPATIENT PRACTICE LOCATION
NE
Enumeration date
07/14/2015
Last updated
07/14/2015
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