28D2295999 CLIA NUMBER - ST MONICA'S AFIRMING WOMENS EMPOWERMENT

Laboratory Demographics

CLIA Number: 28D2295999

Facility Name: ST MONICA'S AFIRMING WOMENS EMPOWERMENT

Facility Address:
105 WEDGEWOOD DRIVE
LINCOLN, NE
ZIP 68510
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Facility Phone Number: 402 441-3768

Facility Type: Other - SUBSTANCE REHAB

Certificate Type: Waiver

NPI Number: 1316122393

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	28D2295999
LAB Type	Other - SUBSTANCE REHAB
Facility Name	ST MONICA'S AFIRMING WOMENS EMPOWERMENT
Street	105 WEDGEWOOD DRIVE
City	LINCOLN
State	NE
ZIP	68510
Phone	402 441-3768
CertificateType	4
CertificateEffectiveDate	12/20/2023
CertificateExpirationDate	12/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024