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Organization

INTEGRATED SUPPORT SERVICES LLC

Active
Parent organization
INTEGRATED SUPPORT SERVICES LLC
Other names
Complete Family Treatment Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTEGRATED SUPPORT SERVICES LLC
Authorized official
JOHN L HALL LIMHP, LADC (MANAGER)
(402) 770-3764
Entity
Organization

Contact information

Practice address
10846 JOHN GALT BLVD, OMAHA, NE 68137-2306
(402) 325-1290
(402) 817-7312
Mailing address
9633 HOLLOW TREE DR, LINCOLN, NE 68512-9535
(402) 770-3764

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/09/2019
Last updated
11/22/2023
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