Organization
GONZALEZ MENTAL HEALTH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA ADRIANA CASTRO PLMHP (MENTAL HEALTH THERAPIST)
(402) 516-2230
Entity
Organization
Contact information
Practice address
1941 S 42ND ST STE 416, OMAHA, NE 68105-2945
(402) 516-2230
Mailing address
1941 S 42ND ST STE 416, OMAHA, NE 68105-2945
(402) 516-2230
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
10239
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10239
STATE OF NEBRASKA MENTAL HEALTH
NE
Enumeration date
06/12/2017
Last updated
06/16/2018
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