Organization
MENTAL HEALTH CENTER OF BOULDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSECA MCDONALD MA, CAC III (PLACEMENT INTERVENTIONIST)
(303) 441-1535
Entity
Organization
Contact information
Practice address
3400 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1535
Mailing address
3400 BROADWAY ST, BOULDER, CO 80304-1824
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10
CO
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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