NPI 1003010398
Santa Monica
Practice location
- Address
- 130 N 39th St, Omaha, NE 68131-2307
- Phone
- (402) 558-7088
- Fax
- (402) 558-7133
Authorised official
- Name
- Mary Kay Davis
- Title
- Executive Director
- Phone
- (402) 558-7088
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003010398
- Entity type
- Organization
- NPI issued
- 12 Jun 2007
- Record last updated
- 14 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.