Organization Name: | ALL DIRECTIONS BEHAVIORAL HEALTH, INC. |
NPI Number: | 1528440385 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE SUE NICHOLS (DIRECTOR) |
Mailing Address: | 202 Osborne Street Winnebago |
State: | NE US |
Postal Code: | 68071 |
Phone Number: | 7123890799 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2015 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4057 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |