Ponca Tribe of Nebraska
Ponca Tribe of Nebraska is a Community/Behavioral Health Agency in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2010.
- Licensed in
- NE
- In the registry since
- 2010
- Specialties on file
- 3
Practice location Address checks out
2602 J StOmaha, NE 68107-1643
Phone: (402) 734-5275
Fax: (402) 733-3487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence SATC174 (NE) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence SATC173 (NE) |
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence SATC157 (NE) |
Record details
| NPI number | 1295058733 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Lee — Chief Executive Officer · (402) 734-5275 |
| Other names | Fred Leroy Health And Wellness Center |
| NPI enumerated | March 11, 2010 |
| Last updated in NPPES | March 11, 2010 |
| Mailing address | 2602 J St, Omaha, NE 68107-1643 |
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