| Guidance To Success Youth Club | |
|
6500 Holdrege St Lincoln NE 68505-1673 | |
| (402) 464-1661 | |
| (402) 325-0212 |
| Full Name | Guidance To Success Youth Club |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6500 Holdrege St, Lincoln, Nebraska |
| Authorized Official Name and Position | Angelo Chills Stabler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4028059056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guidance To Success Youth Club 6500 Holdrege St Lincoln NE 68505-1673 Ph: (402) 464-1661 | Guidance To Success Youth Club 6500 Holdrege St Lincoln NE 68505-1673 Ph: (402) 464-1661 |
| NPI Number | 1417397084 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417397084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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