Organization
DAVID E. ROSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID EDWARD ROSE ED.S (PSYCHOTHERPAIST)
(303) 659-3639
Entity
Organization
Contact information
Practice address
457 POPPY DR, BRIGHTON, CO 80601-3345
(303) 659-3639
Mailing address
457 POPPY DR, BRIGHTON, CO 80601-3345
(303) 659-3639
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
119652015
CO
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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