NPI 1225868078

Specialized Outpatient Services

Organisation Community/Behavioral Health Agency Grand Island, NE

Practice location

Address: 1811 W 2nd Street Suite 450, Grand Island, NE 68803
Phone: (308) 379-8619
Fax: (308) 675-2690

Authorised official

Name: Cynthia L Kissack
Title: Supervisor
Phone: (308) 379-8619

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Nebraska →

Registry record

NPI: 1225868078
Entity type: Organization
NPI issued: 6 Aug 2024
Record last updated: 6 Aug 2024

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.