Organization
A1 HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M COOK BS, PLADC (CEO)
(402) 991-8101
Entity
Organization
Contact information
Practice address
1941 S 42ND ST STE 412, OMAHA, NE 68105-2944
(402) 991-8101
(402) 991-8103
Mailing address
1941 S 42ND ST STE 412, OMAHA, NE 68105-2944
(402) 991-8101
(402) 991-8103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
612
NE
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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