| Optum Behavioral Care Of Colorado, P.c. | |
|
7115 Forthun Rd Ste 105 Baxter MN 56425-8598 | |
| (704) 506-6267 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7115 Forthun Rd Ste 105, Baxter, Minnesota |
| Authorized Official Name and Position | Leslie Johnson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Colorado, P.c. 67 Burnside Ave East Hartford CT 06108-3408 Ph: (704) 506-6267 | Optum Behavioral Care Of Colorado, P.c. 7115 Forthun Rd Ste 105 Baxter MN 56425-8598 Ph: (704) 506-6267 |
| NPI Number | 1124898556 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124898556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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