Provider First Line Business Practice Location Address:
2201 S 17TH ST
Provider Second Line Business Practice Location Address:
COMMUNITY MENTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-441-9224
Provider Business Practice Location Address Fax Number:
402-441-6602
Provider Enumeration Date:
06/15/2012