Organization
BUFFALO RUN GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WILSON (PRESIDENT)
(303) 318-0311
Entity
Organization
Contact information
Practice address
14459 COUNTY ROAD 18 1/2, FORT LUPTON, CO 80621-9211
(303) 318-0311
(303) 318-0288
Mailing address
PO BOX 740699, ARVADA, CO 80006-0699
(303) 318-0311
(303) 318-0288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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