Organization
NATIONAL INSTITUTE FOR CHANGE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE KEELING (SENIOR DIRECTOR)
(303) 231-0090
Entity
Organization
Contact information
Practice address
3225 S WADSWORTH BLVD UNIT T, LAKEWOOD, CO 80227-5009
(303) 231-0090
Mailing address
3225 S WADSWORTH BLVD UNIT T, LAKEWOOD, CO 80227-5009
(303) 231-0090
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/17/2020
Last updated
12/23/2020
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