| Alternative Homes For Youth | |
|
1110 M St Greeley CO 80631-9586 | |
| (970) 353-6010 | |
| (970) 353-5636 |
| Full Name | Alternative Homes For Youth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1110 M St, Greeley, Colorado |
| Authorized Official Name and Position | Mike Phillips (COO) |
| Authorized Official Contact | 9703536010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alternative Homes For Youth 1110 M St Greeley CO 80631-9586 Ph: (970) 353-6010 | Alternative Homes For Youth 1110 M St Greeley CO 80631-9586 Ph: (970) 353-6010 |
| NPI Number | 1780747014 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780747014 | NPI | - | NPPES |
| 58903283 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2016 (Colorado) | Primary |
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