Organization
CHILDREN'S TRAUMA CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RENEE BLACKWELL LCSW (EXECUTIVE DIRECTOR)
(720) 262-1279
Entity
Organization
Contact information
Practice address
295 5TH STREET, SUITE 8, FAIRPLAY, CO 80440-5016
(720) 262-1279
Mailing address
26719 PLEASANT PARK RD, UNIT 120, CONIFER, CO 80433
(720) 262-1279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
05/08/2025
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