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
- City
- Grand Island
- State
- Nebraska
- 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 |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Alisha N Thompson, MSW | |
| Stephanie Detamore | |
| Trey A Kissack | |
| Richard Lee Kissack |
Organizations
| Provider Name | |
|---|---|
| Visinet, Inc. |
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