Individual
MR. JOSEPH LORENZO WILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 321-2533
(303) 468-6184
Mailing address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 321-2533
(303) 468-6184
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6905
CAC III
CO
Enumeration date
11/26/2010
Last updated
11/26/2010
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