Provider Demographics
NPI:1790163954
Name:ENIGAMI BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:ENIGAMI BEHAVIORAL HEALTH
Other - Org Name:ENIGAMI HEALTH MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CROAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:720-272-6149
Mailing Address - Street 1:8501 EAST ALAMEDA AVE.
Mailing Address - Street 2:UNIT 721
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6020
Mailing Address - Country:US
Mailing Address - Phone:720-272-6149
Mailing Address - Fax:
Practice Address - Street 1:8501 EAST ALAMEDA AVE.
Practice Address - Street 2:UNIT 721
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6020
Practice Address - Country:US
Practice Address - Phone:720-272-6149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENIGAMI SYSTEMS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management