Organization
CENTENNIAL MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HICKMAN PHD (EXECUTIVE DIRECTOR)
(970) 522-4549
Entity
Organization
Contact information
Practice address
115 N CAMPBELL AVE, HOLYOKE, CO 80734-1003
(970) 522-4549
(970) 522-6898
Mailing address
211 W MAIN ST, STERLING, CO 80751-3168
(970) 522-4549
(970) 522-6898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
150153
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04110094
—
CO
Enumeration date
03/05/2009
Last updated
07/15/2021
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