Specialized Outpatient Services

NPI #1225868078 in Grand Island, Nebraska

Provider Information

NPI Number
1225868078
Entity Type
Organization
Organization Name
Specialized Outpatient Services
Subpart
Yes (part of a larger organization)
Parent Organization
SPECIALIZED OUTPATIENT SERVICES LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 6, 2024
Last Updated
Aug 6, 2024

Practice Location

Address
1811 W 2ND STREET
Address 2
SUITE 450
ZIP Code
68803
Phone
(308) 379-8619

Authorized Official

Name
CYNTHIA L KISSACK, LIMHP
Title
SUPERVISOR
Phone
(308) 379-8619

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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