| Buffalo Run Group Home, Inc. | |
|
14459 County Road 18 1/2 Fort Lupton CO 80621-9211 | |
| (303) 318-0311 | |
| (303) 318-0288 |
| Full Name | Buffalo Run Group Home, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14459 County Road 18 1/2, Fort Lupton, Colorado |
| Authorized Official Name and Position | Laura Wilson (PRESIDENT) |
| Authorized Official Contact | 3033180311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Run Group Home, Inc. Po Box 740699 Arvada CO 80006-0699 Ph: (303) 318-0311 | Buffalo Run Group Home, Inc. 14459 County Road 18 1/2 Fort Lupton CO 80621-9211 Ph: (303) 318-0311 |
| NPI Number | 1841584919 |
|---|---|
| Provider Enumeration Date | 06/06/2011 |
| Last Update Date | 06/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841584919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
North Range Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 1st St, Fort Lupton, CO 80621 Phone: 303-857-6365 |