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Organization
MIND SPA LLC
Active
Organization
MIND SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM JEFFREY PETERSON MBA (DIRECTOR OF BUSINESS DEVELOPMENT)
(509) 385-4800
Entity
Organization
Contact information
Practice address
6303 E DAKOTA AVE, DENVER, CO 80224-1246
(413) 205-8665
Mailing address
3295 BLAKE ST APT 205, DENVER, CO 80205-2469
(509) 385-4800
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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