Organization
BREANNE NEWCOMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNE NEWCOMB M.A. (OWNER/CBRS)
(720) 409-6902
Entity
Organization
Contact information
Practice address
53 BLOOMINGDALE DR, ALEXANDER, NC 28701-9134
(720) 409-6902
Mailing address
53 BLOOMINGDALE DR, ALEXANDER, NC 28701-9134
(720) 409-6902
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
103770
CO
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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