Centennial Mental Health Center | |
650 East Walnut, Unit C Elizabeth CO 80107 | |
(970) 522-4549 | |
(970) 522-6898 |
Full Name | Centennial Mental Health Center |
---|---|
Speciality | Community/behavioral Health |
Location | 650 East Walnut, Unit C, Elizabeth, Colorado |
Authorized Official Name and Position | Elizabeth Hickman (EXECUTIVE DIRTECTOR) |
Authorized Official Contact | 9705224549 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centennial Mental Health Center 211 W Main St Sterling CO 80751-3168 Ph: (970) 522-4549 | Centennial Mental Health Center 650 East Walnut, Unit C Elizabeth CO 80107 Ph: (970) 522-4549 |
NPI Number | 1427298868 |
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Provider Enumeration Date | 02/25/2009 |
Last Update Date | 07/15/2021 |
Certification Date | 07/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427298868 | NPI | - | NPPES |
04110094 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 15K991 (Colorado) | Primary |
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