Organization
ANIMAL-ASSISTED THERAPY OF THE MOUNTAIN COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GROGAN (PRESIDENT)
(720) 275-1074
Entity
Organization
Contact information
Practice address
28000 MEADOW DR SUITE 105, EVERGREEN, CO 80439
(720) 275-1074
Mailing address
28000 MEADOW DR UNIT 105, EVERGREEN, CO 80439-8395
(720) 275-1074
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184162975
—
CO
Enumeration date
09/22/2016
Last updated
09/22/2016
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