Provider Demographics
NPI:1578086294
Name:NEBRASKA FAMILY SUPPORT NETWORK
Entity Type:Organization
Organization Name:NEBRASKA FAMILY SUPPORT NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVE
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:BLEYHL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:402-345-0791
Mailing Address - Street 1:3568 DODGE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-3222
Mailing Address - Country:US
Mailing Address - Phone:402-345-0791
Mailing Address - Fax:402-345-0938
Practice Address - Street 1:3568 DODGE ST STE 2
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131
Practice Address - Country:US
Practice Address - Phone:402-345-0791
Practice Address - Fax:402-345-0938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health