Provider Demographics
NPI:1679948335
Name:ALCOHOL AND DRUG SOLUTIONS
Entity type:Organization
Organization Name:ALCOHOL AND DRUG SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GILFILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MAA,LADC
Authorized Official - Phone:402-601-4289
Mailing Address - Street 1:421 S 9TH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2261
Mailing Address - Country:US
Mailing Address - Phone:402-601-4289
Mailing Address - Fax:402-475-7541
Practice Address - Street 1:421 S 9TH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2261
Practice Address - Country:US
Practice Address - Phone:402-601-4289
Practice Address - Fax:402-475-7541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NESATC024261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)