Organization · Type 2 NPI

Ethan Selvig LLC

Community/Behavioral Health Agency · Broomfield, CO

NPI number 1417409442 Active

Practice location

80 Garden Ctr Ste 222
Broomfield, CO 80020-1735

Call (724) 713-1016 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X1686 (CO)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1417409442

Ethan Selvig LLC's National Provider Identifier is 1417409442, issued on Oct 25, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Broomfield, CO. The record was last updated on Oct 25, 2016.