Organization
1ST ALLIANCE TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JEAN ISACCO (TASC PROGRAM COORDINATOR)
(720) 771-5552
Entity
Organization
Contact information
Practice address
8787 TURNPIKE DR, WESTMINSTER, CO 80031-7031
(720) 214-0826
Mailing address
8787 TURNPIKE DR, WESTMINSTER, CO 80031-7031
(720) 771-5552
(720) 214-0856
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326436932
—
CO
Enumeration date
08/11/2016
Last updated
08/11/2016
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