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Organization

HOPELIGHT MEDICAL CLINIC

Active
Other names
Hopelight Behavioral health
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD BOWEN (EXECUTIVE DIRECTOR)
(303) 776-2625
Entity
Organization

Contact information

Practice address
1351 COLLYER ST, LONGMONT, CO 80501-3310
(303) 775-7723
Mailing address
1351 COLLYER ST, LONGMONT, CO 80501-3310
(303) 775-7723

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000156356
CO
Enumeration date
07/06/2021
Last updated
07/07/2021
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