Centennial Mental Health Center, INC.
Community/Behavioral Health in Cheyenne Wells, CO. Organization (NPI-2).
NPI number1003673526
StatusActive
Last updated in NPPESMar 1, 2024
Details
- NPI
- 1003673526
- Entity type
- Organization (NPI-2)
- Legal business name
- Centennial Mental Health Center, INC.
- Organization subpart
- No
- Enumeration date
- Mar 1, 2024
- Certification date
- Mar 1, 2024
- Last updated
- Mar 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
80 E 1st St NCheyenne Wells, CO 80810-5008
Phone 719-346-8183
Mailing address
211 W Main StSterling, CO 80751-3168
Phone 970-522-4549 · Fax 970-522-9544
Authorized official
Sherri Davidson
Chief Financial Officer
9705224549
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