| Sanford Mental Health Services | |
|
1941 S 42nd St 416m Omaha NE 68105-2939 | |
| (402) 215-5937 | |
| Not Available |
| Full Name | Sanford Mental Health Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1941 S 42nd St, Omaha, Nebraska |
| Authorized Official Name and Position | William Sanford (OWNER) |
| Authorized Official Contact | 4022155937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Mental Health Services 1941 S 42nd St 416m Omaha NE 68105-2939 Ph: (402) 215-5937 | Sanford Mental Health Services 1941 S 42nd St 416m Omaha NE 68105-2939 Ph: (402) 215-5937 |
| NPI Number | 1033654033 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033654033 | NPI | - | NPPES |
| 100255211-00 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1419 (Nebraska) | Primary |
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