| Center For Holistic Development | |
|
5425 N 103rd St Ste 2 Omaha NE 68134-1280 | |
| (402) 502-9788 | |
| (402) 502-3450 |
| Full Name | Center For Holistic Development |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5425 N 103rd St Ste 2, Omaha, Nebraska |
| Authorized Official Name and Position | Doris Moore (CEO) |
| Authorized Official Contact | 4025029788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Holistic Development 5425 N 103rd St Ste 2 Omaha NE 68134-1280 Ph: (402) 502-9788 | Center For Holistic Development 5425 N 103rd St Ste 2 Omaha NE 68134-1280 Ph: (402) 502-9788 |
| NPI Number | 1184664922 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 0648347443 |
|---|---|
| Medicare Enrollment ID | O20080919000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184664922 | NPI | - | NPPES |
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