North Range Behavioral Health | |
7251 W 20th St Unit C Greeley CO 80634-4625 | |
(970) 347-2120 | |
Not Available |
Full Name | North Range Behavioral Health |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 7251 W 20th St Unit C, Greeley, Colorado |
Authorized Official Name and Position | Larry Pottorff (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9703472373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Range Behavioral Health 1300 N 17th Ave Greeley CO 80631-9584 Ph: (970) 347-2120 | North Range Behavioral Health 7251 W 20th St Unit C Greeley CO 80634-4625 Ph: (970) 347-2120 |
NPI Number | 1184107088 |
---|---|
Provider Enumeration Date | 09/07/2018 |
Last Update Date | 11/23/2020 |
Certification Date | 11/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184107088 | NPI | - | NPPES |
9000166446 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 150368 (Colorado) | Primary |
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