Organization
COLORADO CENTER FOR BEHAVIORAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT VAN DORSTEN (OWNER)
(303) 256-6625
Entity
Organization
Contact information
Practice address
4600 S SYRACUSE ST FL 9, DENVER, CO 80237-2750
(303) 256-6625
Mailing address
4600 S SYRACUSE ST FL 9, DENVER, CO 80237-2750
(303) 256-6625
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
06/04/2013
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