| Kvc Behavioral Health | |
|
11550 I St 100 Omaha NE 68137-1262 | |
| (402) 498-4714 | |
| Not Available |
| Full Name | Kvc Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11550 I St, Omaha, Nebraska |
| Authorized Official Name and Position | Lucy Ajuoga (IN HOME SUPERVISOR) |
| Authorized Official Contact | 4024984717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kvc Behavioral Health 11550 I St 100 Omaha NE 68137-1262 Ph: (402) 498-4714 | Kvc Behavioral Health 11550 I St 100 Omaha NE 68137-1262 Ph: (402) 498-4714 |
| NPI Number | 1407380280 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407380280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Nebraska) | Primary |
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