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Organization

RESTORATION THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA HABRICH LIMHP, CPC, LADC (OWNER/MENTAL HEALTH &SUBSTANCE USE)
(402) 813-2255
Entity
Organization

Contact information

Practice address
6648 CHARLES ST, OMAHA, NE 68132-1136
(402) 813-2255
Mailing address
6648 CHARLES ST, OMAHA, NE 68132-1136
(402) 813-2255

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558817759
NE
Enumeration date
07/21/2020
Last updated
12/03/2020
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