Organization
SECOND WIND WELLNESS, LLC.
Active
Other names
Second Wind Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM M. DIESI AGACNP-BC (CO-OWNER)
(303) 763-0573
Entity
Organization
Contact information
Practice address
19951 E RED FOX LN, CENTENNIAL, CO 80015-3720
(303) 763-0573
Mailing address
19951 E RED FOX LN, CENTENNIAL, CO 80015-3720
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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