Organization
ELEVATE PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON KEITH BAKER DO (OWNER)
(303) 842-8885
Entity
Organization
Contact information
Practice address
17970 GYPSUM CANYON CT, MONUMENT, CO 80132-7995
(719) 357-8801
Mailing address
17970 GYPSUM CANYON CT, MONUMENT, CO 80132-7995
(719) 357-8801
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR.0068421
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
01
—
H0093686
MARYLAND BOARD OF PHYSICIANS
—
01
—
OS15184
FLORIDA OSTEOPATHIC MEDICAL ASSOCIATION
FL
Enumeration date
03/25/2022
Last updated
03/25/2022
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