Organization
HOME PSYCHOTHERAPY ALLIANCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA GOODFRIEND COOPER LCSW, CAC III (OWNER)
(303) 269-1191
Entity
Organization
Contact information
Practice address
6505 W 84TH WAY, #137, ARVADA, CO 80003-1148
(303) 269-1191
Mailing address
6505 W 84TH WAY, #137, ARVADA, CO 80003-1148
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
575
CO
Other
Enumeration date
11/12/2011
Last updated
11/12/2011
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