Organization
ELEVATE 4:14 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI JOHNSON (DIRECTOR)
(307) 286-1689
Entity
Organization
Contact information
Practice address
1274 49TH AVE, GREELEY, CO 80634-2200
(307) 286-1689
Mailing address
930 39TH AVE # 336973, GREELEY, CO 80634-1550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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