Provider Demographics
NPI:1902158850
Name:RHINO WELLNESS CENTER
Entity Type:Organization
Organization Name:RHINO WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ARDEAN
Authorized Official - Last Name:SWENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:970-522-0769
Mailing Address - Street 1:329 BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-2310
Mailing Address - Country:US
Mailing Address - Phone:970-522-0769
Mailing Address - Fax:866-593-7589
Practice Address - Street 1:118 MAIN ST
Practice Address - Street 2:SUITE NUMBER 206
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-4370
Practice Address - Country:US
Practice Address - Phone:970-522-0769
Practice Address - Fax:866-593-7589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLMFT 900251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health