| Elevate 4:14 Llc | |
|
1274 49th Ave Greeley CO 80634-2200 | |
| (307) 286-1689 | |
| Not Available |
| Full Name | Elevate 4:14 Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1274 49th Ave, Greeley, Colorado |
| Authorized Official Name and Position | Shari Johnson (DIRECTOR) |
| Authorized Official Contact | 3072861689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate 4:14 Llc 930 39th Ave # 336973 Greeley CO 80634-1550 Ph: () - | Elevate 4:14 Llc 1274 49th Ave Greeley CO 80634-2200 Ph: (307) 286-1689 |
| NPI Number | 1831867142 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831867142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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