Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Recovery Care |
261QR0800X |
| NPI # | 1871325910 |
| LBN Legal business name | HIGH COUNTRY BEHAVIORAL HEALTH |
| Authorized official | SHANNON NIZER - (CREDENTIALING SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/16/2024 |
| Last updated | 04/24/2026 - About 1 months ago |
| Identifiers | n/a |
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