NPI | 1689411654 |
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Former Legal Business Name | MENTAL HEALTH CENTER OF BOULDER COUNTY, INC. |
Doing Business As | MENTAL HEALTH PARTNERS |
Doing Business As | CLINICA FAMILY HEALTH AND WELLNESS |
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 | 2024-11-05 |