Organization
OLORUN-ASA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MCRAE (OWNER)
(970) 462-5960
Entity
Organization
Contact information
Practice address
1025 MAIN ST, GRAND JUNCTION, CO 81501-3540
(970) 462-5960
Mailing address
PO BOX 41178, GRAND JUNCTION, CO 81504-1178
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/30/2017
Last updated
01/18/2020
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