MEDICARE: COMPREHENSIVE BEHAVIORAL HEALTH CENTER LLC

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	261QM2800X	Methadone Clinic
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1578492310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE BEHAVIORAL HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	702 W DRAKE RD STE B
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-5556
Country	:	US
Telephone Number	:	303-885-4774
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 W DRAKE RD BLDG D STE B
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-5556
Country	:	US
Telephone Number	:	303-885-4774
Fax Number	:

Authorized Official
Title or Position	:	CBO
Name	:	SCOTT ZIEGLER
Credential	:
Telephone Number	:	360-601-2918

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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