NPI 1487424826
Optum Behavioral Care of Colorado, P.C.
Practice location
- Address
- W6144 Aerotech Dr, Appleton, WI 54914-7503
- Phone
- (704) 506-6267
- Mailing address
- 11000 Optum Cir, Eden Prairie, MN 55344-2503
Authorised official
- Name
- Leslie Johnson
- Title
- Ceo
- Phone
- (704) 506-6267
Registered specialties
Counseling Psychologist
Primary
Registry record
- NPI
- 1487424826
- Entity type
- Organization
- NPI issued
- 8 Jan 2024
- Record last updated
- 24 Apr 2024
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.