Organization
SAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE ADRIENNE PACKARD PHD (CEO)
(303) 443-3920
Entity
Organization
Contact information
Practice address
3856 WONDERLAND HILL AVE, BOULDER, CO 80304-1036
(303) 443-3920
Mailing address
3856 WONDERLAND HILL AVE, BOULDER, CO 80304-1036
(303) 443-3920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1350-00
CO
Other
Enumeration date
01/06/2007
Last updated
08/22/2020
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