| Wolf Chalenburg Llc | |
|
1620 S 70th St Ste 105 Lincoln NE 68506-1563 | |
| (531) 333-1149 | |
| Not Available |
| Full Name | Wolf Chalenburg Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1620 S 70th St Ste 105, Lincoln, Nebraska |
| Authorized Official Name and Position | Elizabeth Chalenburg (OWNER) |
| Authorized Official Contact | 5313331149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf Chalenburg Llc 2505 Cheshire N Lincoln NE 68512-1512 Ph: () - | Wolf Chalenburg Llc 1620 S 70th St Ste 105 Lincoln NE 68506-1563 Ph: (531) 333-1149 |
| NPI Number | 1871267039 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871267039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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