| NPI | 1023302247 |
|---|---|
| Former Legal Business Name | OMAHA INTEGRATIVE CARE FOR FERTILITY, LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE ANN LUZARRAGA Executive Director 402-934-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 273) |
| Additional Taxonomies | 103T00000X Psychologist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2023-12-06 |