Organization
LIVING WELL TRANSITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R BACCELLIERI M.A., LPC (EXECUTIVE DIRECTOR)
(303) 245-1020
Entity
Organization
Contact information
Practice address
1320 PEARL ST STE 320, BOULDER, CO 80302-5370
(303) 245-1020
(303) 245-1001
Mailing address
1320 PEARL ST STE 320, BOULDER, CO 80302-5370
(303) 245-1020
(303) 245-1001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NONE REQUIRED
CO
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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