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Organization
ST. EPHRAIM CENTER
Active
Organization
ST. EPHRAIM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASHA GISETTI (EXECUTIVE DIRECTOR)
(303) 358-1360
Entity
Organization
Contact information
Practice address
9300 W DARTMOUTH PL, LAKEWOOD, CO 80227-4407
(720) 943-0840
Mailing address
9300 W DARTMOUTH PL, LAKEWOOD, CO 80227-4407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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