| Addiction Treatment Center Of Longmont | |
|
2130 Mountain View Avenue Suite A-2 Longmont CO 80501 | |
| (303) 651-9200 | |
| Not Available |
| Full Name | Addiction Treatment Center Of Longmont |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2130 Mountain View Avenue, Longmont, Colorado |
| Authorized Official Name and Position | Robert Henry Eiserman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3036519282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Treatment Center Of Longmont 2130 Mountain View Avenue A-2 Longmont CO 80501 Ph: (303) 651-9200 | Addiction Treatment Center Of Longmont 2130 Mountain View Avenue Suite A-2 Longmont CO 80501 Ph: (303) 651-9200 |
| NPI Number | 1508950007 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508950007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1311-00 (Colorado) | Primary |
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