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Organization

COMMUNITY OPTIONS INDIVIDUAL AND FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA STOCK (OWNER)
(402) 658-6468
Entity
Organization

Contact information

Practice address
1941 S 42ND ST STE 134, OMAHA, NE 68105-2957
(402) 658-6468
Mailing address
1941 S 42ND ST STE 134, OMAHA, NE 68105-2957

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4616
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100264959-00
NE
Enumeration date
06/26/2017
Last updated
06/26/2017
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