| Medicine Park Mental Health | |
|
2922 Evergreen Pkwy Ste 207 Evergreen CO 80439-7915 | |
| (719) 257-3709 | |
| Not Available |
| Full Name | Medicine Park Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2922 Evergreen Pkwy Ste 207, Evergreen, Colorado |
| Authorized Official Name and Position | Caroline Journeycake (OWNER) |
| Authorized Official Contact | 7202373720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine Park Mental Health 30238 Carriage Loop Dr Evergreen CO 80439-8560 Ph: (720) 237-3720 | Medicine Park Mental Health 2922 Evergreen Pkwy Ste 207 Evergreen CO 80439-7915 Ph: (719) 257-3709 |
| NPI Number | 1780496059 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780496059 | NPI | - | NPPES |
| 90000230024 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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