Organization
FOREST HEIGHTS LODGE INC.
Active
Other names
Decade2Connect
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RYAN HENNINGER (CHIEF EXECUTIVE OFFICER)
(303) 600-3702
Entity
Organization
Contact information
Practice address
13922 DENVER WEST PARKWAY, SUITE 150, LAKEWOOD, CO 80401
(303) 674-6681
(303) 674-6805
Mailing address
13922 DENVER WEST PARKWAY, SUITE 150, LAKEWOOD, CO 80401
(303) 674-6681
(303) 674-6805
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2005
Last updated
03/04/2024
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