Organization
NDW MANAGEMENT CO LLC
Active
Organization
NDW MANAGEMENT CO LLC
Active
Other names
Awaken IV
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WINGO (CEO)
(720) 964-2402
Entity
Organization
Contact information
Practice address
5277 MANHATTAN CIR STE 260, BOULDER, CO 80303-8201
(303) 409-3690
Mailing address
5277 MANHATTAN CIR STE 260, BOULDER, CO 80303-8201
(720) 964-2402
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
09/01/2026
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