Organization
CENTENNIAL MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI DAVIDSON (FINANCE DIRECTOR)
(970) 522-4549
Entity
Organization
Contact information
Practice address
230 W KIOWA AVE, FORT MORGAN, CO 80701-2368
(970) 466-0639
Mailing address
211 W MAIN ST, STERLING, CO 80751-3168
(970) 522-4549
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04110094
—
CO
Enumeration date
12/02/2020
Last updated
07/15/2021
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