Organization
ALONG THE WILLOWED PATH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WELLS (OWNER)
(406) 660-9687
Entity
Organization
Contact information
Practice address
11635 ARBOR ST STE 110, OMAHA, NE 68144-5000
(402) 660-9687
Mailing address
19534 FARNAM ST, ELKHORN, NE 68022-4833
(402) 660-9687
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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