Organization
COLORADO FAMILY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN T RAYNAK M.D (OWNER)
(303) 442-8320
Entity
Organization
Contact information
Practice address
528 PEARL ST, BOULDER, CO 80302-5002
(303) 442-8320
(303) 417-0700
Mailing address
528 PEARL ST, BOULDER, CO 80302-5002
(303) 442-8320
(303) 417-0700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23509
CO
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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