Provider First Line Business Practice Location Address:
3020 18TH ST STE 17
Provider Second Line Business Practice Location Address:
CATHOLIC CHARITIES
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68601-4254
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-563-3833
Provider Business Practice Location Address Fax Number:
402-562-8714
Provider Enumeration Date:
03/18/2010