# UNIVERSITY OF COLORADO, BOULDER'S WOMEN'S MENTAL HEALTH & WELLNESS CLI

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

## Provider details

- **NPI number:** 1568731941
- **Authorized official:** SONA DIMIDJIAN (CLINIC DIRECTOR)
- **Authorized official phone:** (303) 492-3485

## Contact information

- **Practice address:** 1777 EXPOSITION DR, BOULDER, CO 80301-2628
- **Practice address phone:** (303) 492-7378
- **Mailing address:** DEPT OF PSYCHOLOGY AND NEUROSCIENCE, BOX 345 UCB, BOULDER, CO 80309-0345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 3309 | CO | Yes |

## Other

- **Enumeration date:** 12/14/2011
- **Last updated:** 12/14/2011
