Provider Demographics
NPI:1073929436
Name:BENDING BIRCH BEHAVIORAL SERVICES, LLC
Entity Type:Organization
Organization Name:BENDING BIRCH BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CRABTREE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:202-604-7355
Mailing Address - Street 1:355 ALBION ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4912
Mailing Address - Country:US
Mailing Address - Phone:720-505-6293
Mailing Address - Fax:
Practice Address - Street 1:355 ALBION ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4912
Practice Address - Country:US
Practice Address - Phone:720-505-6293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty