Organization
PHASEONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA LOREN MORALES COUNSELOR II (PRESIDENT)
(303) 668-4698
Entity
Organization
Contact information
Practice address
1221 GALAPAGO ST, DENVER, CO 80204-3520
(303) 668-4698
Mailing address
3936 MEADE ST, DENVER, CO 80211-1946
(303) 668-4698
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251C00000X
CO
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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