Organization
8451 PEARL STREET OPERATING COMPANY LLC
Active
Other names
Vibra Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD HOLLINGER (PRESIDENT/CEO)
(171) 591-5700
Entity
Organization
Contact information
Practice address
8451 PEARL ST, THORNTON, CO 80229-4804
(303) 288-3000
(303) 286-1253
Mailing address
4550 LENA DR, MECHANICSBURG, PA 17055-4922
(717) 591-5709
(717) 591-5710
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
010403
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36632040
—
CO
05
—
58404015
—
NM
Enumeration date
06/12/2006
Last updated
11/25/2008
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