Centennial Mental Health Center
Organization Active NPI Community/Behavioral Health Agency · Burlington, CO
NPI 1982844874 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1982844874
- 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
- 1291 Circle Dr
Burlington, CO 80807-1245 - 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) 13
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
1291 Circle Dr
Burlington, CO 80807-1245
Mailing address
211 W Main St
Sterling, CO 80751-3168
Phone (970) 522-4549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04110094 | Medicaid | CO |
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- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Centennial Mental Health Center, Inc.
- Nallely Cereceres
All providers in Burlington, 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.