Organization
AUTHENTIC SERVICES AND SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE WADE M.A., J.D. (CEO)
(720) 318-1708
Entity
Organization
Contact information
Practice address
2747 4TH ST, BOULDER, CO 80304-3236
(720) 318-1708
Mailing address
2747 4TH ST, BOULDER, CO 80304-3236
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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