Organization
BOULDER INTEGRATED HEALTH LLC
Active
Other names
Bolder Life
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WILSON (BUSINESS OFFICE MANAGER)
(720) 739-6500
Entity
Organization
Contact information
Practice address
2429 BROADWAY ST, BOULDER, CO 80304-4108
(720) 739-6500
(720) 204-3930
Mailing address
2429 BROADWAY ST, BOULDER, CO 80304-4108
(720) 739-6500
(720) 204-3930
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
09/10/2021
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