Organization · NPI-2

111 Free, INC.

Counselor, Mental Health · Omaha, NE

NPI number1942929708
StatusActive
Last updated in NPPESSep 14, 2022

Details

NPI
1942929708
Entity type
Organization (NPI-2)
Legal business name
111 Free, INC.
Organization subpart
No
Enumeration date
Aug 24, 2022
Certification date
Sep 14, 2022
Last updated
Sep 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1941 S 42nd St Ste 426
Omaha, NE 68105-2988

Phone 402-874-4111

Mailing address

1941 S 42nd St Ste 426
Omaha, NE 68105-2988

Authorized official

Geraldine Nmn Alexis
President
4028744111

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