Organization
IMPACT BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WESTERN MSW, BCBA (OWNER)
(517) 303-1861
Entity
Organization
Contact information
Practice address
4500 S MONACO ST, #1036, DENVER, CO 80237-3427
(517) 303-1861
Mailing address
4500 S MONACO ST, #1036, DENVER, CO 80237-3427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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