Centennial Mental Helath Center
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Cheyenne Wells, CO
NPI 1225663545 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1225663545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- CENTENNIAL MENTAL HELATH CENTER
- Practice address
- 80 East First
Suite 2
Cheyenne Wells, CO 80810-0000 - Phone
- (719) 346-8183
- Fax
- (719) 346-0292
- NPI assigned
- Mar 6, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- CENTENNIAL MENTAL HEALTH CENTER, INC.
Authorized official
- Name
- Michelle Lynn
- Title
- Credentialing Manager
- Phone
- (970) 571-1266
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Centennial Mental Healt
- Part of
- Centennial Mental Healt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
80 East First
Suite 2
Cheyenne Wells, CO 80810-0000
Mailing address
211 W Main St
Sterling, CO 80751-3168
Phone (970) 522-4549
Other providers in Cheyenne Wells, CO
- Edward David Boudreau
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Cheyenne County Hospital District
- Cheyenne County Hospital District III
- Genna Mae Cochran
- Christine A Connolly
- County of Cheyenne
All providers in Cheyenne Wells, CO · Substance Use Disorder Rehabilitation Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.