Organization Name: | BSM, INC. |
NPI Number: | 1154570562 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNINE J LANE (PRESIDENT) |
Mailing Address: | 215 N Spruce St Ogallala |
State: | NE US |
Postal Code: | 691532552 |
Phone Number: | 3082849811 |
Fax Number: | 3082844100 |
NPI Enumeration Date: | 09/10/2008 |
NPI Last Update Date: | 09/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 426 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |