Organization
INNER RADIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SWART MA (OWNER)
(719) 480-1841
Entity
Organization
Contact information
Practice address
4150 DARLEY AVE STE 6, BOULDER, CO 80305-6537
(720) 441-2850
Mailing address
PO BOX 3413, BOULDER, CO 80307-3413
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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