Organization
LIFE RENEWAL RESROUCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN M THARP PH.D. (BUSINESS OWNER)
(970) 402-4579
Entity
Organization
Contact information
Practice address
2114 N LINCOLN AVE STE 106, LOVELAND, CO 80538-3858
(970) 402-4579
Mailing address
6814 ANTIGUA DR UNIT 18, FORT COLLINS, CO 80525-6936
(970) 223-2506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20051340355
CO
Other
Enumeration date
06/01/2008
Last updated
06/01/2008
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