Provider Demographics
NPI:1750982310
Name:SPECTRA CENTERS, INC.
Entity type:Organization
Organization Name:SPECTRA CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARHARD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:303-665-6800
Mailing Address - Street 1:7205 W 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2358
Mailing Address - Country:US
Mailing Address - Phone:303-665-6800
Mailing Address - Fax:303-265-9820
Practice Address - Street 1:11310 HURON ST STE 225
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-3090
Practice Address - Country:US
Practice Address - Phone:303-665-6800
Practice Address - Fax:303-265-9820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty