Organization
SPIRIT HORSE RANCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE D TEVIS PHD (EXECUTIVE DIRECTOR)
(402) 880-1106
Entity
Organization
Contact information
Practice address
14624 S 204TH ST, GRETNA, NE 68028-6228
(402) 880-1106
Mailing address
14624 S 204TH ST, GRETNA, NE 68028-6228
(402) 880-1106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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