Optum Behavioral Care of Colorado, P.c.

NPI #1093572349 in Portage, Michigan

Provider Information

NPI Number: 1093572349
Entity Type: Organization
Organization Name: Optum Behavioral Care of Colorado, P.c.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 4, 2024
Last Updated: Mar 24, 2025

Practice Location

Address: 1662 E CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49002-4496
Phone: (269) 321-8564

Authorized Official

Name: LESLIE JOHNSON
Title: CEO
Phone: (704) 506-6267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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