Organization
ST. MONICA'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARRY-MAGSAMEN (EXECUTIVE DIRECTOR)
(402) 441-3767
Entity
Organization
Contact information
Practice address
120 WEDGEWOOD DR, LINCOLN, NE 68510-2431
(402) 441-3768
(402) 441-3770
Mailing address
120 WEDGEWOOD DR, LINCOLN, NE 68510-2431
(402) 441-3768
(402) 441-3770
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
SATC024
NE
324500000X
Substance Abuse Rehabilitation Facility
SATC063
NE
324500000X
Substance Abuse Rehabilitation Facility
SATC077
NE
324500000X
Substance Abuse Rehabilitation Facility
Primary
SATC102
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252179-00
—
NE
05
—
100253488-00
—
NE
05
—
100253821-00
—
NE
Enumeration date
01/17/2007
Last updated
08/22/2020
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