Organization
STAND FAST IN FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A JOHNSON MD (PRESIDENT)
(402) 858-2010
Entity
Organization
Contact information
Practice address
2916 S 132ND ST # 138, OMAHA, NE 68144-3409
(208) 858-2010
Mailing address
2916 S 132ND ST # 138, OMAHA, NE 68144-3409
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
10/24/2019
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