Organization
CRESTVIEW MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON GOLDER (OWNER)
(719) 717-7113
Entity
Organization
Contact information
Practice address
150 PROSPECT AVE STE 104, FRANKLIN, PA 16323-2554
(719) 717-7113
Mailing address
2598 LACY HOLT RD, GRAHAM, NC 27253-9472
(719) 717-7113
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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