Organization
SEXUAL ASSAULT VICTIM ADVOCATE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANNE GAYE VILLARREAL MSW (THERAPIST)
(970) 304-9520
Entity
Organization
Contact information
Practice address
326 52ND AVE, GREELEY, CO 80634-4224
(970) 304-9520
Mailing address
326 52ND AVE, GREELEY, CO 80634
(970) 304-9520
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13766
CO
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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