| North Colorado Behavioral Health Of Fort Collins, Llc | |
|
3825 E Mulberry St Unit 5c Fort Collins CO 80524-8574 | |
| (970) 224-0495 | |
| (970) 224-0497 |
| Full Name | North Colorado Behavioral Health Of Fort Collins, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3825 E Mulberry St, Fort Collins, Colorado |
| Authorized Official Name and Position | Gwendolyn P. Anderson (FACILITY ADMINISTRATOR) |
| Authorized Official Contact | 9702240495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Colorado Behavioral Health Of Fort Collins, Llc 3825 E Mulberry St Unit 5c Fort Collins CO 80524-8574 Ph: (970) 224-0495 | North Colorado Behavioral Health Of Fort Collins, Llc 3825 E Mulberry St Unit 5c Fort Collins CO 80524-8574 Ph: (970) 224-0495 |
| NPI Number | 1730217787 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730217787 | NPI | - | NPPES |
| 98323032 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1579-01 (Colorado) | Primary |
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