| Pathfinder Support Service, Inc | |
|
212 E 8th St Fremont NE 60825 | |
| (402) 721-1414 | |
| (412) 753-9914 |
| Full Name | Pathfinder Support Service, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 212 E 8th St, Fremont, Nebraska |
| Authorized Official Name and Position | Douglas Watson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4027211414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathfinder Support Service, Inc 212 E 8th St Fremont NE 60825 Ph: (402) 721-1414 | Pathfinder Support Service, Inc 212 E 8th St Fremont NE 60825 Ph: (402) 721-1414 |
| NPI Number | 1972767101 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972767101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | P658 (Nebraska) | Primary |
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