Provider Demographics
NPI:1407972615
Name:FLATIRONS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:FLATIRONS BEHAVIORAL HEALTH
Other - Org Name:CENTENNIAL PEAKS HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF ASSESSMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-666-2088
Mailing Address - Street 1:2255 S 88TH ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9716
Mailing Address - Country:US
Mailing Address - Phone:303-673-9990
Mailing Address - Fax:
Practice Address - Street 1:2255 S 88TH ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9716
Practice Address - Country:US
Practice Address - Phone:303-673-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3877283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital