Organization
FAMILY SERVICES CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNESA YANEZ (OWNER)
(303) 219-0895
Entity
Organization
Contact information
Practice address
80 GARDEN CTR STE 170, BROOMFIELD, CO 80020-1790
(303) 219-0895
Mailing address
80 GARDEN CTR STE 170, BROOMFIELD, CO 80020-1790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780004762
—
CO
Enumeration date
01/03/2020
Last updated
01/03/2020
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