Organization
SOUTH CENTRAL BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY W HENRIE MSW (CEO)
(308) 237-5951
Entity
Organization
Contact information
Practice address
3810 CENTRAL AVE, KEARNEY, NE 68847
(308) 237-5951
(308) 234-4018
Mailing address
PO BOX 1715, KEARNEY, NE 68848-1715
(308) 237-5951
(308) 234-4018
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025692400
—
NE
Enumeration date
01/16/2009
Last updated
01/16/2009
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