Organization
MOUNTAIN CREST BEHAVIORAL HEALTH HOSPITAL
Active
Parent organization
POUDRE VALLEY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY HOSPITAL
Authorized official
KAREN WENTE LCSW (PROFESSIONAL MENTAL HEALTH PROFESSI)
(970) 207-4820
Entity
Organization
Contact information
Practice address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(970) 207-4800
(970) 207-4855
Mailing address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(970) 207-4800
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
00993063
CO
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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