Organization
OUTPATIENT BEHAVIORAL HEALTH SERVICES
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
JONNA LEE HENKEL MA, CAC III (THERAPEUTIC CASE WORKER)
(303) 436-5706
Entity
Organization
Contact information
Practice address
777 BANNOCK ST UNIT 9, DENVER, CO 80204-4507
(303) 436-5706
(303) 436-5071
Mailing address
777 BANNOCK ST UNIT 9, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
276400000X
CO
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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