| Restoration Therapy | |
|
6648 Charles St Omaha NE 68132-1136 | |
| (402) 813-2255 | |
| Not Available |
| Full Name | Restoration Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6648 Charles St, Omaha, Nebraska |
| Authorized Official Name and Position | Carla Habrich (OWNER/MENTAL HEALTH &SUBSTANCE USE) |
| Authorized Official Contact | 4028132255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Therapy 6648 Charles St Omaha NE 68132-1136 Ph: (402) 813-2255 | Restoration Therapy 6648 Charles St Omaha NE 68132-1136 Ph: (402) 813-2255 |
| NPI Number | 1770191272 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770191272 | NPI | - | NPPES |
| 1558817759 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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