| Boulder Shelter For The Homeless, Inc. Dba All Roads | |
|
4869 Broadway St Boulder CO 80304-0523 | |
| (303) 442-4646 | |
| Not Available |
| Full Name | Boulder Shelter For The Homeless, Inc. Dba All Roads |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4869 Broadway St, Boulder, Colorado |
| Authorized Official Name and Position | Michael Block (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3032470678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Shelter For The Homeless, Inc. Dba All Roads 4869 Broadway St Boulder CO 80304-0523 Ph: (303) 442-4646 | Boulder Shelter For The Homeless, Inc. Dba All Roads 4869 Broadway St Boulder CO 80304-0523 Ph: (303) 442-4646 |
| NPI Number | 1265270557 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265270557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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