Organization
THERAPEUTIC EXPERIENCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD S. TYNER (PRESIDENT/CEO)
(970) 749-0607
Entity
Organization
Contact information
Practice address
120 COUNTY ROAD 236, DURANGO, CO 81301-8298
(970) 749-0607
(970) 247-2724
Mailing address
120 COUNTY ROAD 236, DURANGO, CO 81301-8298
(970) 749-0607
(970) 247-2724
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
CO
251S00000X
Community/Behavioral Health Agency
Primary
—
CO
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/17/2009
Last updated
11/15/2013
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