Organization
AURORA MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN JENKINS PH.D. (PROGRAM MANAGER)
(303) 437-7947
Entity
Organization
Contact information
Practice address
17704 E KEPNER DR, AURORA, CO 80017-3310
(720) 216-3108
Mailing address
17704 E KEPNER DR, AURORA, CO 80017-3310
(720) 216-3108
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-254-0941
COLORADO DRIVER LICENSE
CO
Enumeration date
12/23/2013
Last updated
12/23/2013
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