Organization
MENTAL FITNESS COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM R MUSGRAVE PA-C, PSYCHIATRY CAQ (OWNER)
(970) 682-4353
Entity
Organization
Contact information
Practice address
2627 REDWING RD STE 220, FORT COLLINS, CO 80526-6331
(970) 682-4353
(970) 530-3839
Mailing address
2627 REDWING RD STE 220, FORT COLLINS, CO 80526-6331
(970) 682-4353
(970) 530-3839
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20171759951
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417043837
NPPES - NPI
—
Enumeration date
11/29/2017
Last updated
11/29/2017
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