Organization
CAMELOT CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK BOIEN (STATE DIRECTOR)
(630) 860-5724
Entity
Organization
Contact information
Practice address
11711 ARBOR ST STE 110, OMAHA, NE 68144-2975
(402) 392-2972
(402) 392-2978
Mailing address
10304 SPOTSYLVANIA AVE FL 3, FREDERICKSBURG, VA 22408-8602
(540) 710-2800
(540) 710-6447
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
51069149
NE
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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