NPI 1407267305
Wise Mind Practice LLC
Practice location
- Address
- 427 E Kanesville Blvd Suite 305, Council Bluffs, IA 51503-9079
- Phone
- (402) 999-0813
- Fax
- (712) 248-8813
- Mailing address
- 6710 Mason St, Omaha, NE 68106-1138
Authorised official
- Name
- Morgan M Kupsinel
- Title
- Director
- Phone
- (402) 213-7379
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1407267305
- Entity type
- Organization
- NPI issued
- 13 May 2014
- Record last updated
- 13 May 2014
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.