| Depression & Bipolar Clinic Of Colorado, Pllc. | |
|
400 E Horsetooth Rd Suite 300 Fort Collins CO 80525-3189 | |
| (970) 484-5625 | |
| (970) 493-5131 |
| Full Name | Depression & Bipolar Clinic Of Colorado, Pllc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 400 E Horsetooth Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Tammas Frederick Kelly (OWNER/DIRECTOR) |
| Authorized Official Contact | 9704845625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Depression & Bipolar Clinic Of Colorado, Pllc. 400 E Horsetooth Rd Suite 300 Fort Collins CO 80525-3189 Ph: (970) 484-5625 | Depression & Bipolar Clinic Of Colorado, Pllc. 400 E Horsetooth Rd Suite 300 Fort Collins CO 80525-3189 Ph: (970) 484-5625 |
| NPI Number | 1144465642 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144465642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 30397 (Colorado) | Primary |
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