| Kvc Behavioral Healthcare Nebraska | |
|
1111 Grundman Boulevard Nebraska City NE 68410 | |
| (402) 301-1086 | |
| Not Available |
| Full Name | Kvc Behavioral Healthcare Nebraska |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1111 Grundman Boulevard, Nebraska City, Nebraska |
| Authorized Official Name and Position | Sandra Gasca Gonzalez (PRESIDENT) |
| Authorized Official Contact | 4023011086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kvc Behavioral Healthcare Nebraska 10909 Mill Valley Rd Suite 100 Omaha NE 68154-3985 Ph: (402) 301-1086 | Kvc Behavioral Healthcare Nebraska 1111 Grundman Boulevard Nebraska City NE 68410 Ph: (402) 301-1086 |
| NPI Number | 1346579778 |
|---|---|
| Provider Enumeration Date | 12/14/2009 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346579778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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