Organization
MAPLE STAR COLORADO DBA CLARVIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MORRIS (EXECUTIVE DIRECTOR)
(303) 564-2595
Entity
Organization
Contact information
Practice address
3225 INTERNATIONAL CIR STE 210, COLORADO SPRINGS, CO 80910-3161
(303) 433-1975
Mailing address
2250 S ONEIDA ST, SUITE 200, DENVER, CO 80224-2556
(303) 433-1975
(303) 433-1980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
90967
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90967
CHILD PLACEMENT AGENCY
CO
Enumeration date
01/02/2007
Last updated
08/27/2024
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