Organization
SOUTH CENTRAL BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY HENRIE SR. MSW (CEO)
(308) 237-5951
Entity
Organization
Contact information
Practice address
3810 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 237-5951
Mailing address
3810 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 237-5951
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80873595
—
NE
Enumeration date
03/05/2008
Last updated
03/05/2008
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