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Organization

UNIVERSITY OF COLORADO, BOULDER'S WOMEN'S MENTAL HEALTH & WELLNESS CLI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONA DIMIDJIAN (CLINIC DIRECTOR)
(303) 492-3485
Entity
Organization

Contact information

Practice address
1777 EXPOSITION DR, BOULDER, CO 80301-2628
(303) 492-7378
Mailing address
DEPT OF PSYCHOLOGY AND NEUROSCIENCE, BOX 345 UCB, BOULDER, CO 80309-0345

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3309
CO

Other

Enumeration date
12/14/2011
Last updated
12/14/2011
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