Organization
THE GOOD VIBES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMBUL SIANTURI (EXECUTIVE DIRECTOR)
(909) 725-9374
Entity
Organization
Contact information
Practice address
5933 S WENATCHEE ST, AURORA, CO 80015-6658
(720) 412-3394
(720) 222-5150
Mailing address
5933 S WENATCHEE ST, AURORA, CO 80015-6658
(720) 412-3394
(720) 222-5150
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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