CENTENNIAL MENTAL HEALTH CENTER, INC.
NPI 1851810337
Clinic/Center - Rehabilitation, Substance Use Disorder in Holyoke, CO

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

Active since September 15, 2017

115 N CAMPBELL AVE, HOLYOKE, CO 80734(970) 854-2114(970) 854-4584 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2021, Sep 15, 2017 (2 updates tracked since 2017).

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Rehabilitation, Substance Use Disorder

About CENTENNIAL MENTAL HEALTH CENTER, INC.

This page provides the complete NPI Profile along with additional information for Centennial Mental Health Center, Inc., a provider established in Holyoke, Colorado operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1851810337 assigned on September 2017. The practitioner's primary taxonomy code is 261QR0405X with license number 1145-06 (CO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Elizabeth L Hickman Phd (Executive Director)

NPI: 1851810337 Verify this NPI
Provider Name: CENTENNIAL MENTAL HEALTH CENTER, INC.
Entity Type: Organization
Location Address: 115 N CAMPBELL AVE HOLYOKE, CO 80734
Location Phone: (970) 854-2114
Location Fax: (970) 854-4584
Mailing Address: 211 W MAIN ST STERLING, CO 80751
Mailing Phone: (970) 522-4549
Mailing Fax: (970) 522-6898
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 09-15-2017
Last Update Date: 07-15-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Rehabilitation, Substance Use Disorder
Taxonomy Code: 261QR0405X
Type: Ambulatory Health Care Facilities
License No.: 1145-06
License State: CO

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ELIZABETH L HICKMAN PHD
Authorized Official Title: EXECUTIVE DIRECTOR
Authorized Official Phone: (970) 522-4549