Organization
INTEGRATED TRANSITION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAMAWIT DESTA (OWNER)
(678) 755-5601
Entity
Organization
Contact information
Practice address
562 SABLE BLVD STE 150, AURORA, CO 80011-0809
(678) 755-5601
Mailing address
562 SABLE BLVD STE 150, AURORA, CO 80011-0809
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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