NPI 1467232660
Ph Balance Therapeutics
Practice location
- Address
- 525 3rd Ave STE 211c, Longmont, CO 80501-5859
- Phone
- (720) 410-4529
- Mailing address
- 954 5th Ave, Longmont, CO 80501-5424
Authorised official
- Name
- Brandon Arthur Perea-Hickam
- Title
- Ceo & Founder
- Phone
- (720) 410-4529
Registered specialties (2)
Marriage & Family Therapist
Primary
Addiction (Substance Use Disorder) Counselor
Registry record
- NPI
- 1467232660
- Entity type
- Organization
- NPI issued
- 4 Oct 2023
- Record last updated
- 4 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.