| Child Guidance Center Iop/o | |
|
904 Sumner Lincoln NE 68502 | |
| (402) 475-7666 | |
| (402) 476-9623 |
| Full Name | Child Guidance Center Iop/o |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 904 Sumner, Lincoln, Nebraska |
| Authorized Official Name and Position | Kathryn Mcleese Stephenson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4024757666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Guidance Center Iop/o 2444 O Street Lincoln NE 68510 Ph: (402) 475-7666 | Child Guidance Center Iop/o 904 Sumner Lincoln NE 68502 Ph: (402) 475-7666 |
| NPI Number | 1487794749 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 03/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487794749 | NPI | - | NPPES |
| 10026053100 | Medicaid | NE | |
| 10026041800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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