Organization
BRASS BALLS TENDER HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYCE MATHERN MA (OWNER)
(303) 835-6886
Entity
Organization
Contact information
Practice address
1343 MILWAUKEE ST, APT. 1, DENVER, CO 80206-2587
(303) 835-6886
Mailing address
1343 MILWAUKEE ST, APT. 1, DENVER, CO 80206-2587
(303) 835-6886
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NLC.0104032
CO
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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