Organization
ROUNDUP FELLOWSHIP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA THURSTON (CHIEF EXECUTIVE OFFICER)
(719) 666-7823
Entity
Organization
Contact information
Practice address
3443 S GALENA ST STE 310, DENVER, CO 80231-5079
(303) 757-8008
(303) 353-8305
Mailing address
3443 S GALENA ST STE 310, DENVER, CO 80231-5079
(303) 757-8008
(303) 353-8305
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
45105
CO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
45201
CO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
45211
CO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
45212
CO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000142041
—
CO
Enumeration date
05/18/2007
Last updated
03/30/2022
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