Idea-thornton

NPI 1114221678 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1114221678
Enumeration Date 12/27/2010
Last Updated 12/27/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARCELA M MARCELA
Position CEO/ DIRECTOR
Phone (303) 477-8280
Fax
Practice Location
2560 W 29TH AVE
DENVER CO, 80211-3712, US
Phone (303) 477-8280
Fax
Business Location
9150B N WASHINGTON ST # B
THORNTON CO, 80229-4305, US
Phone (303) 996-9966
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Colorado
License Number ADAD 1322-03
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According to our database, Idea-thornton NPI is 1114221678, taxonomy code is 251S00000X and license number is ADAD 1322-03, license state is located at Colorado. Idea-thornton physically located at 2560 W 29th Ave, Denver CO, 80211-3712. NPI Number 1033115704 has the healthcare provider type.

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1114221678 NPI number is provided on an as is basis without warranty of any kind. 1114221678 is maintained by the National Plan & Provider Enumeration System. The contents of Idea-thornton are for informational purposes only.