Organization
HEART OF BOARDWALK INC
Active
Other names
CHARG Resource Center, Heartland Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLA KOTNOUR MA, LPC (CLINIC PROGRAM MANAGER)
(303) 830-8805
Entity
Organization
Contact information
Practice address
709 E 12TH AVE, DENVER, CO 80203-2610
(303) 830-8805
(303) 830-8918
Mailing address
709 E 12TH AVE, DENVER, CO 80203-2610
(303) 830-8805
(303) 830-8918
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
150402
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008637
—
CO
Enumeration date
07/21/2005
Last updated
05/05/2026
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