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Organization

PEER 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEN GAIPA LACMSW (DIRECTOR)
(720) 283-3883
Entity
Organization

Contact information

Practice address
3762 W PRINCETON CIR, DENVER, CO 80236-3110
(303) 761-2885
Mailing address
3762 W PRINCETON CIR, DENVER, CO 80236-3110
(303) 761-2885

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
1094-21
CO

Other

Enumeration date
12/02/2014
Last updated
12/02/2014
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