Organization
FAMILY THERAPY DTC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up