Provider Demographics
NPI:1407200165
Name:OPTIMAL FAMILY PRESERVATION LLC
Entity Type:Organization
Organization Name:OPTIMAL FAMILY PRESERVATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:WALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-633-3703
Mailing Address - Street 1:2970 10TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-1763
Mailing Address - Country:US
Mailing Address - Phone:308-633-3703
Mailing Address - Fax:308-633-3537
Practice Address - Street 1:2970 10TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-1763
Practice Address - Country:US
Practice Address - Phone:308-633-3703
Practice Address - Fax:308-633-3537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management