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Organization
MOUNT ST. VINCENT HOME
Active
Organization
MOUNT ST. VINCENT HOME
Active
Other names
Intermountain Health Mount Saint Vincent Home
Organization subpart
No
Provider details
NPI number
Authorized official
JENESSA WILLIAMS (EXECUTIVE DIRECTOR)
(303) 458-7220
Entity
Organization
Contact information
Practice address
4159 LOWELL BLVD, DENVER, CO 80211-1658
(303) 458-7220
(303) 477-7559
Mailing address
4159 LOWELL BLVD, DENVER, CO 80211-1658
(303) 458-7220
(303) 477-7559
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
45174
CO
Other
Enumeration date
08/19/2006
Last updated
03/14/2025
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