Organization
INNERCHANGE VIVE
Active
Parent organization
SOLACIUM HOLDINGS, LLC
Other names
Vive, Embark In-Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLACIUM HOLDINGS, LLC
Authorized official
LAURA J BROWN (VP OF REVENUE CYCLE MANAGEMENT)
(661) 829-4060
Entity
Organization
Contact information
Practice address
1150 MAXWELL AVE, SUITE 200, BOULDER, CO 80304-4185
(303) 449-2516
(303) 449-4341
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(661) 622-4132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
06/20/2023
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