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Flatland Center For Brain LLC

Counselor, Mental Health in Holyoke, CO. Organization (NPI-2).

NPI number1497516231
StatusActive
Last updated in NPPESAug 8, 2024

Details

NPI
1497516231
Entity type
Organization (NPI-2)
Legal business name
Flatland Center For Brain LLC
Organization subpart
No
Enumeration date
Jan 18, 2024
Certification date
Aug 8, 2024
Last updated
Aug 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

143 S Campbell Ave
Holyoke, CO 80734-1561

Phone 970-466-0646

Mailing address

143 S Campbell Ave
Holyoke, CO 80734-1561

Phone 970-466-0646

Authorized official

Daniel W Schellenger
Business Manager
9704660646

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