Organization
THE FAMILY CENTER/LA FAMILIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE SULLIVAN (EXECUTIVE DIRECTOR)
(970) 221-1615
Entity
Organization
Contact information
Practice address
309 HICKORY ST # 5, FORT COLLINS, CO 80524-1106
(970) 221-1615
(970) 416-7448
Mailing address
309 HICKORY ST # 5, FORT COLLINS, CO 80524-1106
(970) 221-1615
(970) 416-7448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/09/2018
Last updated
12/12/2018
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