| Above And Beyond Aba Co Llc | |
|
1942 Broadway Ste 314c Boulder CO 80302-5233 | |
| (405) 649-5579 | |
| Not Available |
| Full Name | Above And Beyond Aba Co Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1942 Broadway Ste 314c, Boulder, Colorado |
| Authorized Official Name and Position | Yehuda Bromberg (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4056495579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Above And Beyond Aba Co Llc 185 Route 70 Toms River NJ 08755-0936 Ph: () - | Above And Beyond Aba Co Llc 1942 Broadway Ste 314c Boulder CO 80302-5233 Ph: (405) 649-5579 |
| NPI Number | 1043047541 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043047541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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