| Santa Monica | |
|
130 N 39th St Omaha NE 68131-2307 | |
| (402) 558-7088 | |
| (402) 558-7133 |
| Full Name | Santa Monica |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 N 39th St, Omaha, Nebraska |
| Authorized Official Name and Position | Mary Kay Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4025587088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Monica 130 N 39th St Omaha NE 68131-2307 Ph: (402) 558-7088 | Santa Monica 130 N 39th St Omaha NE 68131-2307 Ph: (402) 558-7088 |
| NPI Number | 1003010398 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003010398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SATC052 (Nebraska) | Primary |
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