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Organization

NORTHSTAR TRANSITIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DALE IRENE MAUGANS (DIR. OF MEDICAL BILLING)
(970) 232-5524
Entity
Organization

Contact information

Practice address
75 MANHATTAN DR., SUITES 110 AND 208 NORTHSTAR TRANSITIONS, BOULDER, CO 80303
(720) 340-7140
(888) 373-4385
Mailing address
2595 CANYON BLVD., SUITE 460 NORTHSTAR TRANSITIONS, BOULDER, CO 80302
(720) 340-7140
(888) 373-4385

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1790-00
CO

Other

Enumeration date
01/16/2015
Last updated
12/11/2017
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