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NPI Code Detail

MEDICARE: UNITED FAMILY CENTER OF COLORADO

MEDICARE: UNITED FAMILY CENTER OF COLORADO
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1336712090
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED FAMILY CENTER OF COLORADO
Provider Business Mailing Address
First Line : 2472 PATTERSON RD UNIT 16
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-1100
Country : US
Telephone Number : 970-778-3030
Fax Number : 855-203-0839
Provider Business Practice Location Address
First Line : 2472 PATTERSON RD UNIT 16
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-1100
Country : US
Telephone Number : 970-778-3030
Fax Number : 855-203-0839
Authorized Official
Title or Position : TREATMENT DIRECTOR
Name : MISS DOTTIE THURNER-MARTIN
Credential : MS, MA, LACC
Telephone Number : 970-778-3030
Provider Enumeration Date : 07/21/2021
Last Update Date : 07/21/2021

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Directions to “UNITED FAMILY CENTER OF COLORADO ” Practice Location

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