Organization
BOULDER MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AIMEE JUNE BIANCHI M.A. (PROGRAM SUPERVISOR)
(303) 443-6754
Entity
Organization
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-6754
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-6754
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/07/2008
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