Organization · NPI-2

Heartland Family Service

Clinic/Center, Mental Health (Including Community Mental Health Center) · Fremont, NE

NPI number1972662047
StatusActive
Last updated in NPPESSep 1, 2010

Details

NPI
1972662047
Entity type
Organization (NPI-2)
Legal business name
Heartland Family Service
Organization subpart
No
Enumeration date
Dec 6, 2006
Last updated
Sep 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Other names

  • Family Service (Former Legal Business Name)

Practice location

437 Jefferson Rd
Fremont, NE 68025

Phone 402-721-5099 · Fax 402-721-5438

Mailing address

2101 S 42nd St
Omaha, NE 68105-2909

Phone 402-553-3000 · Fax 402-553-3133

Authorized official

John Jeanetta
President Ceo
4025527402

Is something wrong?

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