State of Nebraska Dept of Admin Services

NPI #1942240122 in Lincoln, Nebraska

Provider Information

NPI Number
1942240122
Entity Type
Organization
Organization Name
State of Nebraska Dept of Admin Services
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Primary Specialty
Psychiatric Hospital
Enumeration Date
Jun 7, 2006
Last Updated
Jul 9, 2010

Practice Location

Address
WEST PROSPECTOR PLACE & FOLSOM STREET
ZIP Code
68509-4949
Phone
(402) 479-5419

Authorized Official

Name
KERRY T WINTERER
Title
CEO
Phone
(402) 471-9433

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility
Psychiatric Unit
Psychiatric Hospital

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