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NPI Code Detail

MEDICARE: COMMUNITY REACH CENTER

MEDICARE: COMMUNITY REACH CENTER
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1851606685
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY REACH CENTER
Provider Business Mailing Address
First Line : 1850 E EGBERT ST STE 200
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-2484
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1850 E EGBERT ST STE 200
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-2484
Country : US
Telephone Number : 303-853-3629
Fax Number :
Authorized Official
Title or Position : TRAINING DIRECTOR
Name : TRACY HARDISTER
Credential : PSY.D.
Telephone Number : 303-853-3521
Provider Enumeration Date : 08/17/2010
Last Update Date : 08/17/2010

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Directions to “COMMUNITY REACH CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.