Organization
DEPRESSION & BIPOLAR CLINIC OF COLORADO, PLLC.
Active
Organization
DEPRESSION & BIPOLAR CLINIC OF COLORADO, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMAS FREDERICK KELLY M.D. (OWNER/DIRECTOR)
(970) 484-5625
Entity
Organization
Contact information
Practice address
400 E HORSETOOTH RD, SUITE 300, FORT COLLINS, CO 80525-3189
(970) 484-5625
(970) 493-5131
Mailing address
400 E HORSETOOTH RD, SUITE 300, FORT COLLINS, CO 80525-3189
(970) 484-5625
(970) 493-5131
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
30397
CO
Other
Enumeration date
12/11/2008
Last updated
06/05/2012
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