Organization
COMMUNITY COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WATERS M.A. (DIRECTOR)
(720) 308-7190
Entity
Organization
Contact information
Practice address
12102 E 10TH AVE, AURORA, CO 80011-6213
(720) 308-7190
Mailing address
401 S JERSEY ST, DENVER, CO 80224-1215
(720) 308-7190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/17/2016
Last updated
11/16/2016
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