| Team Inc | |
|
2505 N 24th St Omaha NE 68110-2252 | |
| (402) 451-5549 | |
| (402) 502-0687 |
| Full Name | Team Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2505 N 24th St, Omaha, Nebraska |
| Authorized Official Name and Position | Gayla Danette Chambers (CEO) |
| Authorized Official Contact | 4024515549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Inc Po Box 19235 Omaha NE 68119-0235 Ph: (402) 451-5549 | Team Inc 2505 N 24th St Omaha NE 68110-2252 Ph: (402) 451-5549 |
| NPI Number | 1629597117 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 09/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629597117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0000 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 00000 (Nebraska) | Secondary |
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