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11184 Huron St Ste 10 Northglenn CO 80234-3344 | |
(720) 900-4282 | |
(720) 282-0138 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 11184 Huron St Ste 10, Northglenn, Colorado |
Authorized Official Name and Position | Rosalind A Pistilli (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4407899768 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2827 Greenland Dr Loveland CO 80538-2930 Ph: (440) 789-9768 | 11184 Huron St Ste 10 Northglenn CO 80234-3344 Ph: (720) 900-4282 |
NPI Number | 1477063428 |
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Provider Enumeration Date | 10/04/2017 |
Last Update Date | 06/06/2020 |
Certification Date | 06/06/2020 |
Identifier | Type | State | Issuer |
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1477063428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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