Organization
CHILDREN'S TRAUMA CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN R BLACKWELL LCSW (EXECUTIVE DIRECTOR)
(720) 262-1279
Entity
Organization
Contact information
Practice address
26719 PLEASANT PARK RD, STE 120, CONIFER, CO 80433-7753
(720) 262-1279
Mailing address
26719 PLEASANT PARK RD STE 120, CONIFER, CO 80433-7753
(720) 262-1279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
07/28/2022
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