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Organization
FOREST HEIGHTS LODGE INC.
Active
Organization
FOREST HEIGHTS LODGE INC.
Active
Other names
Decade2Connect
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RYAN HENNINGER (CHIEF EXECUTIVE OFFICER)
(303) 600-3702
Entity
Organization
Contact information
Practice address
13922 DENVER WEST PARKWAY, SUITE 150, LAKEWOOD, CO 80401
(303) 674-6681
(303) 674-6805
Mailing address
13922 DENVER WEST PARKWAY, SUITE 150, LAKEWOOD, CO 80401
(303) 674-6681
(303) 674-6805
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/20/2005
Last updated
03/04/2024
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