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Organization

THE VAIL MIND CENTER

Active
Other names
The Child Mind Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAWNTEE ANN LYONS (OFFICE MANAGER)
(720) 434-2207
Entity
Organization

Contact information

Practice address
210 EDWARDS VILLAGE BLVD, #D209, EDWARDS, CO 81632
(646) 523-5264
Mailing address
758 POTATO PATCH DR, VAIL, CO 81657-4427
(646) 523-5264

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
05/09/2019
Last updated
05/16/2019
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