Organization
VCPHCS X, LLC
Active
Other names
BHG Fort Collins Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
2114 MIDPOINT DR, SUITE 4, FORT COLLINS, CO 80525
(970) 372-3144
(970) 482-1921
Mailing address
5001 SPRING VALLEY RD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1597-05
CO
261QM2800X
Methadone Clinic
1597-05
CO
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1597-05
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44973365
—
CO
Enumeration date
07/29/2016
Last updated
12/18/2024
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