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MATHIS REHAEL AMOUSSOUGA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI: 1790583656Individual
Specialties, Licenses & Credentials
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Contact & Hours
- Address
- 3317 N 107TH ST
OMAHA, NE 68134 - Phone
- (402) 502-1035
Quick Facts
- NPI
- 1790583656
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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