Organization Name: | OASIS COUNSELING INTERNATIONAL |
NPI Number: | 1295015469 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK E STORTVEDT (EXECUTIVE DIRECTOR) |
Mailing Address: | East Highway 20 Ainsworth |
State: | NE US |
Postal Code: | 692100073 |
Phone Number: | 4023871130 |
Fax Number: | 4023871130 |
NPI Enumeration Date: | 08/19/2011 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |