Organization
LATINO PSYCHOTHERAPY & DEVELOPMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISELDA BUSTILLOS BA, CAC III (CO-DIRECTOR/THERAPIST)
(720) 810-4063
Entity
Organization
Contact information
Practice address
12101 E. SECOND AVE, SUITE 101, AURORA, CO 80011
(720) 810-4063
Mailing address
12101 E. SECOND AVE, SUITE 101, AURORA, CO 80011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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