| Rocky Mountain Behavioral Health | |
|
685 Citadel Dr E Ste 125 Colorado Springs CO 80909-5316 | |
| (719) 275-7650 | |
| (719) 275-4209 |
| Full Name | Rocky Mountain Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 685 Citadel Dr E Ste 125, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lois R Petersen-kelley (BUSINESS MANAGER) |
| Authorized Official Contact | 7192757650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Behavioral Health 3239 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-7650 | Rocky Mountain Behavioral Health 685 Citadel Dr E Ste 125 Colorado Springs CO 80909-5316 Ph: (719) 275-7650 |
| NPI Number | 1821698812 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821698812 | NPI | - | NPPES |
| 1063-03 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 302F00000X | Exclusive Provider Organization | (* (Not Available)) | Secondary |
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