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Organization
WESTSIDE BEHAVIORAL CARE, INC.
Active
Organization
WESTSIDE BEHAVIORAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R. GILES PSY.D. (VICE-PRESIDENT)
(303) 675-5463
Entity
Organization
Contact information
Practice address
1319 S DOWNING ST, DENVER, CO 80210-2310
(303) 986-4197
Mailing address
PO BOX 461570, AURORA, CO 80046-1570
(303) 699-5585
(303) 699-5554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CO
103T00000X
Psychologist
—
CO
1041C0700X
Clinical Social Worker
—
CO
106H00000X
Marriage & Family Therapist
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C536068
MEDICARE PTAN
CO
Enumeration date
08/31/2006
Last updated
06/29/2016
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