Organization
BONSAI HEALTHCARE LLC
Active
Other names
Bonsai Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MILEWSKI (MANAGER)
(402) 769-8988
Entity
Organization
Contact information
Practice address
4224 S 50TH ST, OMAHA, NE 68117-1332
(402) 769-8988
Mailing address
4224 S 50TH ST, OMAHA, NE 68117-1332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/22/2024
Last updated
10/02/2024
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