Centennial Mental Health Center
Organization Active NPI Community/Behavioral Health Agency · Holyoke, CO
NPI 1891935797 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1891935797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 150153 (CO)
- Legal business name
- CENTENNIAL MENTAL HEALTH CENTER
- Practice address
- 115 N Campbell Ave
Holyoke, CO 80734-1003 - Phone
- (970) 522-4549
- Fax
- (970) 522-6898
- NPI assigned
- Mar 5, 2009
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Hickman, PHD
- Title
- Executive Director
- Phone
- (970) 522-4549
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Centennial Mental Healt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 150153 | CO | Yes |
Addresses
Primary practice location
115 N Campbell Ave
Holyoke, CO 80734-1003
Mailing address
211 W Main St
Sterling, CO 80751-3168
Phone (970) 522-4549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04110094 | Medicaid | CO |
Other providers in Holyoke, CO
- Banner Health Physicians Colorado LLC
- BD2 Inc
- Brandt Chiropractic Clinic, PC LLC
- Jerold A Brandt
- Jessica Leigh Bullard
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Kevin James Cuccinelli
All providers in Holyoke, CO · Community/Behavioral Health Agency 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.