Individual
MICHAEL NIEMASZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25834 GATEWAY DR, GOLDEN, CO 80401-9601
(603) 661-7899
Mailing address
25834 GATEWAY DR, GOLDEN, CO 80401-9601
(603) 661-7899
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
11/08/2023
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