| Father Flanagan's Boys Home | |
|
14188 Mother Teresa Ln Boys Town NE 68010-7554 | |
| (402) 498-3025 | |
| (402) 964-7150 |
| Full Name | Father Flanagan's Boys Home |
|---|---|
| Speciality | Counselor |
| Location | 14188 Mother Teresa Ln, Boys Town, Nebraska |
| Authorized Official Name and Position | Jessica Blaine (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5313553362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Father Flanagan's Boys Home 14188 Mother Teresa Ln Boys Town NE 68010-7554 Ph: (402) 498-3025 | Father Flanagan's Boys Home 14188 Mother Teresa Ln Boys Town NE 68010-7554 Ph: (402) 498-3025 |
| NPI Number | 1396269726 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396269726 | NPI | - | NPPES |
| 10026522510 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Father Flanagan's Boys Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13460 Walsh Dr, Boys Town, NE 68010 Phone: 531-355-3358 Fax: 531-355-3375 |