| Hope Mountain, Llc | |
|
6565 W Jewell Ave # 4b1 Lakewood CO 80232-7187 | |
| (719) 465-0900 | |
| Not Available |
| Full Name | Hope Mountain, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6565 W Jewell Ave # 4b1, Lakewood, Colorado |
| Authorized Official Name and Position | Jeffrey Lee Mowery (PRESIDENT) |
| Authorized Official Contact | 7194650900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Mountain, Llc 1802 Chapel Hills Dr Ste A Colorado Springs CO 80920-3736 Ph: (719) 465-0900 | Hope Mountain, Llc 6565 W Jewell Ave # 4b1 Lakewood CO 80232-7187 Ph: (719) 465-0900 |
| NPI Number | 1114545126 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114545126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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