Provider Demographics
NPI:1093337610
Name:RUBANGO INTERNATIONAL
Entity Type:Organization
Organization Name:RUBANGO INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KANI-NSIMIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBANGO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, LISW
Authorized Official - Phone:402-714-0762
Mailing Address - Street 1:1905 HARNEY ST STE 714
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-2314
Mailing Address - Country:US
Mailing Address - Phone:402-249-4790
Mailing Address - Fax:
Practice Address - Street 1:1905 HARNEY ST STE 714
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-2314
Practice Address - Country:US
Practice Address - Phone:402-249-4790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)