| Community Reach Center, Inc | |
|
11275 Highline Dr Northglenn CO 80233-3076 | |
| (303) 853-3500 | |
| Not Available |
| Full Name | Community Reach Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11275 Highline Dr, Northglenn, Colorado |
| Authorized Official Name and Position | Ryshell Schrader (BILLING AND CODING MANAGER) |
| Authorized Official Contact | 3034126091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Reach Center, Inc 1870 W 122nd Ave Ste 100 Westminster CO 80234-2075 Ph: (303) 853-3500 | Community Reach Center, Inc 11275 Highline Dr Northglenn CO 80233-3076 Ph: (303) 853-3500 |
| NPI Number | 1457966228 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457966228 | NPI | - | NPPES |
| 9000145404 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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