| Community Options Individual And Family Services | |
|
1941 S 42nd St Ste 134 Omaha NE 68105-2957 | |
| (402) 658-6468 | |
| Not Available |
| Full Name | Community Options Individual And Family Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1941 S 42nd St Ste 134, Omaha, Nebraska |
| Authorized Official Name and Position | Angela Stock (OWNER) |
| Authorized Official Contact | 4026586468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Options Individual And Family Services 1941 S 42nd St Ste 134 Omaha NE 68105-2957 Ph: () - | Community Options Individual And Family Services 1941 S 42nd St Ste 134 Omaha NE 68105-2957 Ph: (402) 658-6468 |
| NPI Number | 1679093132 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 06/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679093132 | NPI | - | NPPES |
| 100264959-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4616 (Nebraska) | Primary |
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