| NPI | 1144067190 |
|---|---|
| Doing Business As | CLINICA FAMILY HEALTH AND WELLNESS |
| Former Legal Business Name | MENTAL HEALTH CENTER OF BOULDER COUNTY, INC. |
| Doing Business As | MENTAL HEALTH PARTNERS |
| Entity Type | Organization |
| Authorized Contact | BRIAN J JOHNSTON CFO 303-926-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-11-04 |