Organization
COMMONWORKS
Active
Other names
Synthesis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLETTA BODE (EXECUTIVE DIRECTOR)
(303) 422-4336
Entity
Organization
Contact information
Practice address
3000 YOUNGFIELD ST, 155, WHEAT RIDGE, CO 80215-6545
(303) 422-4336
(303) 422-4336
Mailing address
3000 YOUNGFIELD ST, 155, WHEAT RIDGE, CO 80215-6545
(303) 422-4336
(303) 422-4336
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
104085
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104085
FOSTER CARE
CO
05
—
74129015
—
CO
Enumeration date
10/09/2007
Last updated
10/09/2007
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