Organization
DENVER INNER CITY PARISH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D. TODD CLOUGH (CEO/EXECUTIVE DIRECTOR)
(303) 629-0636
Entity
Organization
Contact information
Practice address
1212 MARIPOSA ST, DENVER, CO 80204-3621
(303) 629-0636
Mailing address
1212 MARIPOSA ST, DENVER, CO 80204-3621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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