Organization
CLINICA CAMPESINA FAMILY HEALTH SERVICES
Active
Other names
Mental Health Partners, Clinica Family Health and Wellness, Mental Health Center of Boulder County, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J JOHNSTON (CFO)
(303) 926-0625
Entity
Organization
Contact information
Practice address
515 COFFMAN ST, LONGMONT, CO 80501-5455
(303) 443-8500
(034) 844-4853
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/09/2024
Last updated
11/05/2024
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