Organization
ALTERNATIVE HOMES FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE PHILLIPS (COO)
(970) 353-6010
Entity
Organization
Contact information
Practice address
1110 M ST, GREELEY, CO 80631-9586
(970) 353-6010
(970) 353-5636
Mailing address
1110 M ST, GREELEY, CO 80631-9586
(970) 353-6010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2016
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58903283
—
CO
Enumeration date
12/18/2006
Last updated
09/01/2022
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