Individual Provider
Individual Provider is an Emotionally Disturbed Childrens' Residential Treatment Facility in Denver, Colorado. Licensed in Colorado. Registered with an NPI since 2015.
- Licensed in
- CO
- In the registry since
- 2015
Practice location Address checks out
4159 Lowell BlvdDenver, CO 80211-1658
Phone: (303) 458-7220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence NLC.0105326 (CO) |
|---|
Record details
| NPI number | 1821479122 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alicia Leto — Therapist · (970) 618-6796 |
| NPI enumerated | June 11, 2015 |
| Last updated in NPPES | June 11, 2015 |
| Mailing address | 2800 Kalmia Ave, A204, Boulder, CO 80301-1542 |
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Mount Saint Vincent Home
4159 Lowell Blvd, Denver, CO 80211-1658 · (303) 458-7220
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Mount Saint Vincent Home
4159 Lowell Blvd, Denver, CO 80211-1658 · (303) 458-7220
-
Mount Saint Vincent Home
4159 Lowell Blvd, Denver, CO 80211-1658 · (303) 458-7220