DAVID L SULLIVAN LADC PLMHP NPI 1780168344

NPI Information

DAVID L SULLIVAN LADC PLMHP is a mental health (including community mental health center) clinic center in Lincoln, NE. DAVID L SULLIVAN LADC PLMHP NPI is 1780168344. The provider is registered as an organization entity type.

The provider's business location address is:

1620 S 70TH ST STE 101
LINCOLN, NE
ZIP 68506-563
Phone: (402) 202-9342

The provider's authorized official is David L Sullivan .
The authorized official title is President and has the following contact phone number (402) 202-9342.

The enumeration date for this NPI number is 9/19/2018 and was last updated on 9/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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