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Organization

SUPPORT, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS ONEAL KIRKMAN PHD (CEO, OWNER)
(303) 340-0322
Entity
Organization

Contact information

Practice address
15591 E CENTRETECH PKWY, AURORA, CO 80011-9102
(303) 340-0322
(303) 340-0385
Mailing address
15591 E CENTRETECH PKWY, AURORA, CO 80011-9102
(303) 340-0322
(303) 340-0385

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09141383
CO
05
09142142
CO
Enumeration date
04/24/2008
Last updated
04/24/2008
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