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Organization

PATHLIGHT NEUROPSYCHIATRIC CENTER LLC

Active
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Organization

PATHLIGHT NEUROPSYCHIATRIC CENTER LLC

Active
Parent organization
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PATHLIGHT NEUROPSYCHIATRIC CENTER LLC
Authorized official
MARINA SHEPEL (CONTRACTING AND CREDENTIALING MANAG)
(425) 214-9321
Entity
Organization

Contact information

Practice address
8101 E LOWRY BLVD STE 110B, DENVER, CO 80230-7195
(877) 825-8584
Mailing address
7351 E LOWRY BLVD STE 200, DENVER, CO 80230-6083

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
283Q00000X
Psychiatric Hospital

Other

Enumeration date
03/09/2022
Last updated
06/02/2023
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