Organization
HEARTLAND FAMILY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY WUNDERLICH (EXECUTIVE ASSISTANT)
(402) 552-7446
Entity
Organization
Contact information
Practice address
1875 S 75TH ST APT 107, OMAHA, NE 68124-1736
(402) 552-7014
Mailing address
2101 S 42ND ST, OMAHA, NE 68105-2947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
12/10/2019
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