Organization
EXCEL TREATMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIA SISCO C. AD.,F.I.A.C.A. (CLINICAL DIRECTOR)
(303) 782-0599
Entity
Organization
Contact information
Practice address
1660 S ALBION ST, SUITE 420, DENVER, CO 80222-4008
(303) 782-0599
(303) 782-9062
Mailing address
1660 S ALBION ST, SUITE 420, DENVER, CO 80222-4008
(303) 782-0599
(303) 782-9062
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
134400
CO
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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