NPI | 1386373595 |
---|---|
Other Name | ST. VINCENT BEHAVIORAL HEALTH LONGMONT SUITE 202 |
Entity Type | Organization |
Authorized Contact | ANDREW DREESEN Authorized Official 719-486-7161 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2022-06-06 |
Last Update Date | 2024-08-27 |