Organization
ADMHN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE OLDS (CREDENTIALING/INSURANCE SPECIALIST)
(303) 793-9634
Entity
Organization
Contact information
Practice address
155 INVERNESS DR W, SUITE330, ENGLEWOOD, CO 80112-5095
(303) 749-4678
Mailing address
6362 SPOTTED FAWN RUN, LITTLETON, CO 80125-9039
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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