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Organization

MOUNT ST. VINCENT HOME

Active
Other names
Mount St. Vincent Home (QRTP)
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH H SHEHATA (DIRECTOR OF FINANCE)
(303) 458-7220
Entity
Organization

Contact information

Practice address
4159 LOWELL BLVD, DENVER, CO 80211-1658
(303) 458-7220
Mailing address
4159 LOWELL BLVD, DENVER, CO 80211-1658
(303) 458-7220

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
323P00000X
Psychiatric Residential Treatment Facility

Other

Enumeration date
02/09/2022
Last updated
02/17/2022
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