Individual
CENTORIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2365
Mailing address
974 S FAIRPLAY ST, AURORA, CO 80012-3792
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CO
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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