| NPI | 1790444578 |
|---|---|
| Other Name | IMAGINE BY NORTHPOINT FORT COLLINS |
| Entity Type | Organization |
| Authorized Contact | KEVIN GORMAN CFO 707-933-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2023-12-18 |