| Animal-assisted Therapy Of The Mountain Communities | |
|
28000 Meadow Dr Suite 105 Evergreen CO 80439 | |
| (720) 275-1074 | |
| Not Available |
| Full Name | Animal-assisted Therapy Of The Mountain Communities |
|---|---|
| Speciality | Counselor - Professional |
| Location | 28000 Meadow Dr Suite 105, Evergreen, Colorado |
| Authorized Official Name and Position | Kimberly Grogan (PRESIDENT) |
| Authorized Official Contact | 7202751074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Animal-assisted Therapy Of The Mountain Communities 28000 Meadow Dr Unit 105 Evergreen CO 80439-8395 Ph: (720) 275-1074 | Animal-assisted Therapy Of The Mountain Communities 28000 Meadow Dr Suite 105 Evergreen CO 80439 Ph: (720) 275-1074 |
| NPI Number | 1164971974 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164971974 | NPI | - | NPPES |
| 184162975 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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