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Organization

MARIE COOK RXS CNS AT LIFESKILLS ETC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARIE ANN COOK RXS CNS (ADVANCED PRACTICE NURSE)
(720) 237-3419
Entity
Organization

Contact information

Practice address
8350 E PRINCETON AVE, DENVER, CO 80237-1740
(720) 237-3419
Mailing address
4155 E JEWELL AVE STE 225, DENVER, CO 80222-4506
(720) 237-3419

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RXS 100004
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326068289
NPI NUMBER
CO
Enumeration date
06/22/2012
Last updated
06/22/2012
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