Organization
GILPIN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL TAKAHASHI (ACCOUNT SPECIALIST)
(303) 582-5444
Entity
Organization
Contact information
Practice address
2960 DORY HILL RD UNIT 100, BLACK HAWK, CO 80422-8771
(303) 582-5444
(303) 582-5798
Mailing address
2960 DORY HILL RD UNIT 100, BLACK HAWK, CO 80422-8771
(303) 582-5444
(303) 582-5798
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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