Individual
COURTNEY NICOLE HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3227 CHAD ST, BELLEVUE, NE 68123-2651
(614) 560-6024
Mailing address
1813 N 73RD ST, OMAHA, NE 68114-1905
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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