Organization
INTEGRATED LIFE CHOICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA HARTZELL (QUALITY IMPROVEMENT COORDINATOR)
(402) 742-0311
Entity
Organization
Contact information
Practice address
6800 NORMAL BLVD, LINCOLN, NE 68506-6828
(402) 742-0311
Mailing address
6800 NORMAL BLVD, LINCOLN, NE 68506-6828
(402) 742-0311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20792877
—
NE
05
—
41596728
—
NE
05
—
51835644
—
NE
05
—
93038983
—
NE
05
—
95891857
—
NE
Enumeration date
04/11/2017
Last updated
01/07/2020
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