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Organization

REFLECTIONS FRO YOUTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL S JOHNSON LMFT (FINANCIAL ADMINISTRATOR)
(970) 344-1380
Entity
Organization

Contact information

Practice address
1000 S LINCOLN AVE, 190-200, LOVELAND, CO 80537-6358
(970) 344-1380
(970) 344-1394
Mailing address
PO BOX 1860, BERTHOUD, CO 80513-1860
(970) 344-1380
(970) 344-1394

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1530131
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55355307
CO
Enumeration date
10/25/2007
Last updated
10/25/2007
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