| Community Solutions, Inc | |
|
420 21st Ave Suite 113 Longmont CO 80501-1441 | |
| (303) 834-9369 | |
| (303) 834-9396 |
| Full Name | Community Solutions, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 420 21st Ave, Longmont, Colorado |
| Authorized Official Name and Position | Mary Ann Ursich (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7204367537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Solutions, Inc 420 21st Ave Suite 113 Longmont CO 80501-1441 Ph: (303) 834-9369 | Community Solutions, Inc 420 21st Ave Suite 113 Longmont CO 80501-1441 Ph: (303) 834-9369 |
| NPI Number | 1841662889 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841662889 | NPI | - | NPPES |
| 58173 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1771-01 (Colorado) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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