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Organization

RED MOUNTAIN COLORADO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANEA BAKER (BUSINESS OFFICE MANAGER)
(970) 515-6400
Entity
Organization

Contact information

Practice address
5401 W 9TH ST, GREELEY, CO 80634-4431
(970) 631-6364
(970) 978-4951
Mailing address
PO BOX 336100, GREELEY, CO 80633-0602
(970) 515-6400
(970) 978-4951

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
12/27/2019
Last updated
12/27/2019
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