Provider Demographics
NPI:1427258979
Name:FLATIRONS BEHAVORIAL HEALTH
Entity type:Organization
Organization Name:FLATIRONS BEHAVORIAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-666-2079
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:303-673-9703
Practice Address - Street 1:2255 S 88 ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80227-9716
Practice Address - Country:US
Practice Address - Phone:303-673-9990
Practice Address - Fax:303-673-9703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1520898323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20323077Medicaid
CO40983871Medicaid