Organization
SOAR - SEEING OUR ADOLESCENTS RISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAE THOMAS (EXECUTIVE DIRECTOR/FOUNDER)
(720) 675-7761
Entity
Organization
Contact information
Practice address
4155 E JEWELL AVE STE 400, DENVER, CO 80222-4509
(720) 675-7711
Mailing address
PO BOX 461496, AURORA, CO 80046-1496
(720) 675-7761
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447892740
—
CO
Enumeration date
10/03/2022
Last updated
10/03/2022
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