Organization
NATIONAL INSTITUTE FOR CHANGE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MICHELLE KEELING (SENIOR DIRECTOR)
(303) 231-0090
Entity
Organization
Contact information
Practice address
1827 FEDERAL BLVD, DENVER, CO 80204-1724
(303) 231-0090
Mailing address
3225 S WADSWORTH BLVD UNIT T, LAKEWOOD, CO 80227-5009
(303) 231-0090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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