Optum Behavioral Care Of Colorado, P.C.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Plymouth, MI. Organization (NPI-2).
Details
- NPI
- 1114784451
- Entity type
- Organization (NPI-2)
- Legal business name
- Optum Behavioral Care Of Colorado, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 4, 2024
- Certification date
- Mar 24, 2025
- Last updated
- Mar 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Heron Ridge Associates Of Michigan (Doing Business As)
Practice location
705 S Main St Ste 280Plymouth, MI 48170-1060
Phone 734-454-3560
Mailing address
11000 Optum CirEden Prairie, MN 55344-2503
Phone 734-454-3560
Other practice locations
Brighton, MI 48116-1991
Phone 734-454-3560
Bingham Farms, MI 48025-4321
Phone 248-594-4991
Ann Arbor, MI 48103-5285
Phone 734-913-1093
Ann Arbor, MI 48104-4200
Phone 734-822-4810
Authorized official
Leslie Johnson
Ceo
7045066267
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