Individual
DESIREE POLLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7087 S MADISON WAY, CENTENNIAL, CO 80122-1855
(303) 229-2331
Mailing address
7087 S MADISON WAY, CENTENNIAL, CO 80122-1855
(303) 229-2331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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