MEDICARE: GRIFFITH CENTERS FOR CHILDREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	LCSW 00992187	CO

General Provider Information

NPI Number	:	1659722825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRIFFITH CENTERS FOR CHILDREN

Provider Business Mailing Address
First Line	:	2705 MIDWAY AVE
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-4060
Country	:	US
Telephone Number	:	970-812-6251
Fax Number	:

Provider Business Practice Location Address
First Line	:	2705 MIDWAY AVE
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-4060
Country	:	US
Telephone Number	:	970-812-6251
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	MS. KAREN LYNN STEINBECK
Credential	:	LCSW
Telephone Number	:	970-812-6251

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	06/28/2016

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