Organization
ROCKY MOUNTAIN FAMILY INSTITUTE, INC
Active
Organization
ROCKY MOUNTAIN FAMILY INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN WALLACE (CEO)
(818) 651-4594
Entity
Organization
Contact information
Practice address
11027 S PIKES PEAK DR, PARKER, CO 80138-7356
(818) 876-0203
Mailing address
22287 MULHOLLAND HWY # 136, CALABASAS, CA 91302-5157
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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