Organization
MOSAIC
Active
Other names
Mosaic
Organization subpart
No
Provider details
NPI number
Authorized official
JERI SOLE (DIRECTOR OF BILLING)
(402) 896-5827
Entity
Organization
Contact information
Practice address
100 SEBETHE DR STE A2, CROMWELL, CT 06416-1037
(402) 896-5827
(402) 894-4780
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2200
(402) 896-5827
(402) 594-4780
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2021
Last updated
07/09/2021
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