Organization
BANNER GREELEY SPECIALISTS
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS E DAHLEN (SR VICE PRESIDENT)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1800 15TH ST, STE 200, GREELEY, CO 80631-4500
(970) 378-4676
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
11/08/2011
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