| Idea-brighton | |
|
1295 E Bridge St Ste 104 Brighton CO 80601-2278 | |
| (303) 659-9440 | |
| (303) 659-9430 |
| Full Name | Idea-brighton |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1295 E Bridge St Ste 104, Brighton, Colorado |
| Authorized Official Name and Position | Miguel Avina (COO) |
| Authorized Official Contact | 3034778280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idea-brighton 1295 E Bridge St Ste 104 Brighton CO 80601-2278 Ph: (303) 659-9440 | Idea-brighton 1295 E Bridge St Ste 104 Brighton CO 80601-2278 Ph: (303) 659-9440 |
| NPI Number | 1396049854 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396049854 | NPI | - | NPPES |
| 9000149328 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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