Provider First Line Business Practice Location Address:
601 NORTH 30TH ST
Provider Second Line Business Practice Location Address:
CREIGHTON UNIVERSITY - DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-552-6007
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2011