Organization
MADDEN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MADDEN M.S., CCC-SLP (MANAGER)
(816) 377-6772
Entity
Organization
Contact information
Practice address
816 APACHE ST, COLUMBUS, NE 68601-8298
(816) 377-6772
Mailing address
816 APACHE ST, COLUMBUS, NE 68601-8298
(816) 377-6772
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1919
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES-LICENSE
NE
Enumeration date
06/18/2018
Last updated
06/18/2018
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