Individual
MICHAEL JAMES MAYFIELD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5415 S 20TH STREET CIR, LINCOLN, NE 68512-1407
(402) 730-2338
Mailing address
5415 S 20TH STREET CIR, LINCOLN, NE 68512-1407
(402) 730-2338
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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