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4770 Larimer Pkwy Johnstown CO 80534-8918 | |
| (970) 461-5061 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 4770 Larimer Pkwy, Johnstown, Colorado |
| Authorized Official Name and Position | James Cagle (CFO) |
| Authorized Official Contact | 9019693114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8295 Tournament Dr Suite 201 Memphis TN 38125-8906 Ph: (901) 969-3114 | 4770 Larimer Pkwy Johnstown CO 80534-8918 Ph: (970) 461-5061 |
| NPI Number | 1871974436 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871974436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Primary |
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