Provider First Line Business Practice Location Address:
729 SEWARD ST
Provider Second Line Business Practice Location Address:
STE 2 BLUE VALLEY MENTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
SEWARD
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68434-2069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-643-3343
Provider Business Practice Location Address Fax Number:
402-643-4048
Provider Enumeration Date:
09/14/2006