Individual
DOROTHY BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4352 CEYLON ST, DENVER, CO 80249-6504
(303) 332-9871
Mailing address
4352 CEYLON ST, DENVER, CO 80249-6504
(303) 332-9871
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20181966990
MAKING DREAMS A REALITY (TRADE NAME)
CO
Enumeration date
07/02/2019
Last updated
09/03/2019
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