| Colorado State University | |
|
1876 Campus Delivery Colorado State University Fort Collins CO 80523-1876 | |
| (970) 416-6115 | |
| Not Available |
| Full Name | Colorado State University |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1876 Campus Delivery, Fort Collins, Colorado |
| Authorized Official Name and Position | Don Rojas (DEPARTMENT CHAIR) |
| Authorized Official Contact | 9704915212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado State University 1876 Campus Delivery Colorado State University Fort Collins CO 80523-1876 Ph: (970) 416-6115 | Colorado State University 1876 Campus Delivery Colorado State University Fort Collins CO 80523-1876 Ph: (970) 416-6115 |
| NPI Number | 1932647146 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932647146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY0003880 (Colorado) | Primary |
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