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Organization
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Active
Organization
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Active
Other names
Heron Ridge Associates of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JOHNSON (CEO)
(704) 506-6267
Entity
Organization
Contact information
Practice address
705 S MAIN ST STE 280, PLYMOUTH, MI 48170-1060
(734) 454-3560
Mailing address
11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(734) 454-3560
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/04/2024
Last updated
03/24/2025
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