| Hollist Treatment For Adolescents And Families | |
|
2111 W Mulberry St Lincoln NE 68522-1421 | |
| (402) 202-0577 | |
| (402) 438-5330 |
| Full Name | Hollist Treatment For Adolescents And Families |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2111 W Mulberry St, Lincoln, Nebraska |
| Authorized Official Name and Position | Cody Stonewall Hollist (PRESIDENT) |
| Authorized Official Contact | 4022020506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollist Treatment For Adolescents And Families 2111 W Mulberry St Lincoln NE 68522-1421 Ph: (402) 202-0577 | Hollist Treatment For Adolescents And Families 2111 W Mulberry St Lincoln NE 68522-1421 Ph: (402) 202-0577 |
| NPI Number | 1003078437 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003078437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 272 (Nebraska) | Primary |
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