Provider Demographics
NPI:1497867832
Name:ABH ADDICTION & BEHAVIORAL HEALTH SVCS, INC
Entity Type:Organization
Organization Name:ABH ADDICTION & BEHAVIORAL HEALTH SVCS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBRA
Authorized Official - Middle Name:JULIE
Authorized Official - Last Name:HIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-573-5111
Mailing Address - Street 1:8610 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAVISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-3377
Mailing Address - Country:US
Mailing Address - Phone:402-331-3232
Mailing Address - Fax:402-331-1557
Practice Address - Street 1:8610 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:LAVISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-3377
Practice Address - Country:US
Practice Address - Phone:402-331-3232
Practice Address - Fax:402-331-1557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NESATC078101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025057600Medicaid