Organization
MIND OVER MATTER LIVING
Active
Organization
MIND OVER MATTER LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME BROWN (CHIEF EXECUTIVE DIRECTOR/OWNER)
(623) 336-0937
Entity
Organization
Contact information
Practice address
4366 S GIBRALTAR ST, CENTENNIAL, CO 80015-5427
(623) 336-0937
Mailing address
4366 S GIBRALTAR ST, CENTENNIAL, CO 80015-5427
(623) 336-0937
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/03/2022
Last updated
11/02/2022
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