Organization
INTEGRATED LIFE CHOICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SOLOMON (DIRECTOR OF FINANCE)
(402) 742-0311
Entity
Organization
Contact information
Practice address
240 ELIZABETH ST, UNIT H-2, ELIZABETH, CO 80107-7537
(303) 646-4402
(303) 646-4403
Mailing address
PO BOX 80728, LINCOLN, NE 68501-0728
(402) 742-0311
(402) 742-0312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
36358851
CO
376J00000X
Homemaker
36358851
CO
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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