Organization
THE FOUNDATION BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE HITTLE MNM (EXECUTIVE DIRECTOR)
(303) 523-7573
Entity
Organization
Contact information
Practice address
2 JAMES CIR, LONGMONT, CO 80501-6805
(303) 523-7573
Mailing address
2 JAMES CIR, LONGMONT, CO 80501-6805
(303) 523-7573
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49435272
—
CO
Enumeration date
03/20/2013
Last updated
07/07/2021
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