| Integrated Life Choices | |
|
240 Elizabeth St Unit H-2 Elizabeth CO 80107-7537 | |
| (303) 646-4402 | |
| (303) 646-4403 |
| Full Name | Integrated Life Choices |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 240 Elizabeth St, Elizabeth, Colorado |
| Authorized Official Name and Position | Justin Solomon (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 4027420311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Life Choices Po Box 80728 Lincoln NE 68501-0728 Ph: (402) 742-0311 | Integrated Life Choices 240 Elizabeth St Unit H-2 Elizabeth CO 80107-7537 Ph: (303) 646-4402 |
| NPI Number | 1043759848 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043759848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 36358851 (Colorado) | Primary |
| 376J00000X | Homemaker | 36358851 (Colorado) | Secondary |
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