Organization
CENTENNIAL MENTAL HEALTH CENTER, INC.
Active
Parent organization
CENTENNIAL MENTAL HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTENNIAL MENTAL HEALTH CENTER, INC.
Authorized official
ELIZABETH HICKMAN PHD (EXECUTIVE DIRECTOR)
(970) 522-4549
Entity
Organization
Contact information
Practice address
80 E 1ST STREET, SUITE 2, CHEYENNE WELLS, CO 80810-0000
(719) 346-8183
(719) 346-0292
Mailing address
211 W MAIN ST, STERLING, CO 80751-3168
(970) 522-4549
(970) 522-9544
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
07/15/2021
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