| Specialized Outpatient Services | |
|
1811 W 2nd Street Suite 450 Grand Island NE 68803 | |
| (308) 379-8619 | |
| (308) 675-2690 |
| Full Name | Specialized Outpatient Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1811 W 2nd Street, Grand Island, Nebraska |
| Authorized Official Name and Position | Cynthia L Kissack (SUPERVISOR) |
| Authorized Official Contact | 3083798619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Outpatient Services 1811 W 2nd Street Suite 450 Grand Island NE 68803 Ph: (308) 379-8619 | Specialized Outpatient Services 1811 W 2nd Street Suite 450 Grand Island NE 68803 Ph: (308) 379-8619 |
| NPI Number | 1225868078 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225868078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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