Organization
VISINET INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MARIE BOURLAND PLMHP (THERAPIST)
(308) 398-4662
Entity
Organization
Contact information
Practice address
1020 W 2ND ST, GRAND ISLAND, NE 68801-5822
(308) 398-4662
Mailing address
1020 W 2ND ST, GRAND ISLAND, NE 68801-5822
(308) 398-4662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7938
NE
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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