NPI | 1972056547 |
---|---|
Doing Business As | BHG FORT COLLINS TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | JEMECE MICHELLE GASAWAY Director Of Licensing 214-365-6126 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1597-05) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 1597-05) |
261QM2800X Clinic/Center, Methadone Clinic (Licence: CO 1597-05) | |
Enumeration Date | 2016-07-29 |
Last Update Date | 2019-02-20 |