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Organization
WAVE BEHAVIORAL HEALTH CO LLC
Active
Organization
WAVE BEHAVIORAL HEALTH CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONAH POMERANTZ (CEO)
(720) 772-1140
Entity
Organization
Contact information
Practice address
2993 S PEORIA ST STE 250, AURORA, CO 80014-5710
(720) 772-1140
Mailing address
3700 OAKTON ST, SKOKIE, IL 60076-3407
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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