Organization
COMMUNITY REACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DOMINGA C MARTINEZ MSW (THERAPIST)
(303) 853-3564
Entity
Organization
Contact information
Practice address
11285 HIGHLINE DR, NORTHGLENN, CO 80233-3076
(303) 853-3564
(303) 428-7618
Mailing address
9541 WELBY RD. #633, THORNTON, CO 80229
(303) 853-3564
(303) 428-7618
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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