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Organization

CENTENNIAL MENTAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH HICKMAN PHD (EXECUTIVE DIRECTOR)
(970) 522-4549
Entity
Organization

Contact information

Practice address
606 MAIN STREET, LIMON, CO 80828
(970) 522-4549
(970) 522-6898
Mailing address
211 W MAIN ST, STERLING, CO 80751-3168
(970) 522-4549
(970) 522-6898

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
150153
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04110094
CO
Enumeration date
02/26/2009
Last updated
07/15/2021
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