Organization
LIFE SUPPORT BEHAVIORAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANNE DUNNING MFT (PRESIDENT)
(888) 516-5995
Entity
Organization
Contact information
Practice address
7853 E ARAPAHOE CT STE 3550, CENTENNIAL, CO 80112-6827
(888) 516-5995
(303) 600-6629
Mailing address
7853 E ARAPAHOE CT STE 3550, CENTENNIAL, CO 80112-6827
(888) 516-5995
(303) 600-6629
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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