Organization

Rainwood Healing Space- Llc

Addiction (Substance Use Disorder) Counselor in Omaha, NE(View on Map)

Legal Business Name

Rainwood Healing Space- Llc

NPI Number

1235776147

NPI Type

Organization

Enumeration Date

12/10/2019

Specialties

(Taxonomies)

Code

101YA0400X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

9910 N 48TH ST STE 111
9910 N 48TH ST STE 111

City

Omaha
Omaha

State

NE
NE

Postal Code

68152-1548
68152-1548

Country

US
US

Telephone Number

(402) 813-8244
(402) 813-8244

Authorized Official

Name

Tonya Goodwin-daly

Title or Position

OWNER/OPERATOR

Telephone Number

(402) 813-8244

Identifiers

Identifier

1437640760

Identifier State

NE

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/10/2019

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