Provider Demographics
NPI:1376625434
Name:CHOICES TREATMENT CENTER
Entity Type:Organization
Organization Name:CHOICES TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:CCGC
Authorized Official - Phone:402-476-2300
Mailing Address - Street 1:127 S 37TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1502
Mailing Address - Country:US
Mailing Address - Phone:402-476-2300
Mailing Address - Fax:402-476-2337
Practice Address - Street 1:127 S 37TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1502
Practice Address - Country:US
Practice Address - Phone:402-476-2300
Practice Address - Fax:402-476-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE08225OtherBLUE CROSS BLUE SHIELD
NE100252155-00Medicaid
NE792565000OtherMAGELLAN MIS
NE5163OtherMIDLANDS
NE08225OtherBLUE CROSS BLUE SHIELD
NE=========OtherUNITED BEHAVIORAL HEALTH