Addiction Treatment Center Of Longmont
Counselor, Addiction (Substance Use Disorder) in Longmont, CO. Organization (NPI-2).
NPI number1508950007
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1508950007
- Entity type
- Organization (NPI-2)
- Legal business name
- Addiction Treatment Center Of Longmont
- Organization subpart
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1311-00 | CO | Yes |
Practice location
2130 Mountain View AvenueSuite A-2
Longmont, CO 80501
Phone 303-651-9200
Mailing address
2130 Mountain View AvenueA-2
Longmont, CO 80501
Phone 303-651-9200
Authorized official
Robert Henry Eiserman
Executive Director
3036519282
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