Organization
FAMILY THERAPY DTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN RIETEMA RP (OWNER)
(303) 551-4615
Entity
Organization
Contact information
Practice address
7430 E CALEY AVE STE 130E, CENTENNIAL, CO 80111-6715
(303) 551-4615
Mailing address
5905 ALTON ST, DENVER, CO 80238-3995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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