Organization
REJUVENATING WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN SHRADER (EXECUTIVE DIRECTOR)
(402) 345-4673
Entity
Organization
Contact information
Practice address
3507 HARNEY ST, OMAHA, NE 68131-3915
(402) 345-4673
Mailing address
PO BOX 207, BOYS TOWN, NE 68010-0207
(402) 345-4673
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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