PINE LAKE BEHAVIORAL HEALTH, LLC. is a clinic center in Lincoln, NE. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PINE LAKE BEHAVIORAL HEALTH, LLC. NPI is 1003310061. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Lake Behavioral Health.
The provider's business location address is:
9100 ANDERMATT DRIVE SUITE 1
LINCOLN, NE
ZIP 68526-000
Phone: (402) 434-2730
Fax: (402) 434-3970
The provider's authorized official is Jared Wade Ray .
The authorized official title is Director Of Operations and has the following contact phone number (402) 434-2730.
The CLIA number assigned to this NPI record is 28D2077900 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/22/2018 and was last updated on 2/24/2020.