Provider Demographics
NPI:1205816519
Name:BEHAVIORAL CLINICAL SERVICES INC
Entity Type:Organization
Organization Name:BEHAVIORAL CLINICAL SERVICES INC
Other - Org Name:BEHAVIORAL CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:970-241-6500
Mailing Address - Street 1:1600 UTE AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-4677
Mailing Address - Country:US
Mailing Address - Phone:970-241-6500
Mailing Address - Fax:970-243-8835
Practice Address - Street 1:1600 UTE AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-4677
Practice Address - Country:US
Practice Address - Phone:970-241-6500
Practice Address - Fax:970-243-8835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO86253786Medicaid
CO51988500Medicaid
CO86253786Medicaid
COC801557Medicare ID - Type Unspecified