| Centennial Mental Health Center, Inc. | |
|
650 East Walnut Street Unit C Elizabeth CO 80107-4519 | |
| (970) 522-4549 | |
| Not Available |
| Full Name | Centennial Mental Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 650 East Walnut Street, Elizabeth, Colorado |
| Authorized Official Name and Position | Sherri Davidson (FINANCE DIRECTOR) |
| Authorized Official Contact | 9705224549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Mental Health Center, Inc. 211 W Main St Sterling CO 80751-3168 Ph: (970) 522-4549 | Centennial Mental Health Center, Inc. 650 East Walnut Street Unit C Elizabeth CO 80107-4519 Ph: (970) 522-4549 |
| NPI Number | 1376222315 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376222315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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