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Organization
IN THE SHELTER LLC
Active
Organization
IN THE SHELTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE CARL FREDRICKSON MA, MDIV, PHD (ABD) (CEO)
(303) 323-4722
Entity
Organization
Contact information
Practice address
7505 VILLAGE SQUARE DR STE 207, CASTLE PINES, CO 80108-3693
(303) 903-1124
Mailing address
8919 BERMUDA RUN CIR, HIGHLANDS RANCH, CO 80130-3309
(303) 335-5709
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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