Organization
COMMUNITY REACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HARDISTER PSY.D. (TRAINING DIRECTOR)
(303) 853-3521
Entity
Organization
Contact information
Practice address
1850 E EGBERT ST STE 200, BRIGHTON, CO 80601-2484
(303) 853-3629
Mailing address
1850 E EGBERT ST STE 200, BRIGHTON, CO 80601-2484
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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