Organization
IN THE SHELTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE CARL FREDRICKSON MA, MDIV, PHD (ABD) (CEO)
(303) 323-4722
Entity
Organization
Contact information
Practice address
7505 VILLAGE SQUARE DR STE 207, CASTLE PINES, CO 80108-3693
(303) 903-1124
Mailing address
8919 BERMUDA RUN CIR, HIGHLANDS RANCH, CO 80130-3309
(303) 335-5709
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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