# TIM BRENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518229434
- **Authorized official:** MR. TIMOTHY LAMARR BRENT SR. BS (MENTAL HEALTH TECH)
- **Authorized official phone:** (303) 617-9298

## Contact information

- **Practice address:** 17908 E AMHERST AVE, AURORA, CO 80013-2122
- **Practice address phone:** (720) 324-3755
- **Mailing address:** 17908 E AMHERST AVE, AURORA, CO 80013-2122
- **Mailing address phone:** (720) 324-3755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012