Organization
MOUNT ST. VINCENT HOME
Active
Other names
Intermountain Health Mount Saint Vincent Home
Organization subpart
No
Provider details
NPI number
Authorized official
JENESSA WILLIAMS (EXECUTIVE DIRECTOR)
(303) 458-7220
Entity
Organization
Contact information
Practice address
4159 LOWELL BLVD, DENVER, CO 80211-1658
(303) 458-7220
(303) 477-7559
Mailing address
4159 LOWELL BLVD, DENVER, CO 80211-1658
(303) 458-7220
(303) 477-7559
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
45174
CO
Other
Enumeration date
08/19/2006
Last updated
03/14/2025
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