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Organization

OUTPATIENT BEHAVIORAL HEALTH SERVICES

Active
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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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