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Organization
EATIN THERAPEUTIC CENTER
Active
Organization
EATIN THERAPEUTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY MONGAN (PRESIDENT)
(970) 454-2224
Entity
Organization
Contact information
Practice address
123 ELM AVE, EATON, CO 80615-3425
(970) 454-2224
(970) 454-3147
Mailing address
123 ELM AVE, EATON, CO 80615-3425
(970) 454-2224
(970) 454-3147
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
819
CO
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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