Organization
DAVID L SULLIVAN LADC PLMHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L SULLIVAN (PRESIDENT)
(402) 202-9342
Entity
Organization
Contact information
Practice address
1620 S 70TH ST STE 101, LINCOLN, NE 68506-1563
(402) 202-9342
Mailing address
2742 S 39TH ST, LINCOLN, NE 68506-3234
(402) 202-9342
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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