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Organization

WOLF CHALENBURG LLC

Active
Other names
Sycamore & Sage
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH CHALENBURG LIMHP, LADC (OWNER)
(531) 333-1149
Entity
Organization

Contact information

Practice address
1620 S 70TH ST STE 105, LINCOLN, NE 68506-1563
(531) 333-1149
Mailing address
2505 CHESHIRE N, LINCOLN, NE 68512-1512

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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