| NPI | 1548393937 |
|---|---|
| Doing Business As | COLORADO MENTAL HEALTH INSTITUTE FORT LOGAN |
| Entity Type | Organization |
| Authorized Contact | LYN SNOW Complliance Officer 303-866-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CO 0196) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-02-17 |