| Colorado Boys Ranch Foundation | |
|
12567 W Cedar Dr Ste 210 Lakewood CO 80228-2009 | |
| (303) 691-6095 | |
| (303) 376-6372 |
| Full Name | Colorado Boys Ranch Foundation |
|---|---|
| Speciality | Counselor |
| Location | 12567 W Cedar Dr Ste 210, Lakewood, Colorado |
| Authorized Official Name and Position | Tom Rose (CEO) |
| Authorized Official Contact | 3036916095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Boys Ranch Foundation 12567 W Cedar Dr Ste 210 Lakewood CO 80228-2009 Ph: (303) 691-6095 | Colorado Boys Ranch Foundation 12567 W Cedar Dr Ste 210 Lakewood CO 80228-2009 Ph: (303) 691-6095 |
| NPI Number | 1083749881 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083749881 | NPI | - | NPPES |
| 116119901 | Medicaid | WY | |
| 4101658 | Medicaid | MT | |
| HS375PI | Medicaid | AK | |
| 000E1265 | Medicaid | NM | |
| 1532032 | Medicaid | CO | |
| 0016029700001 | Medicaid | PA | |
| 034723300 | Medicaid | DC | |
| 000207250 | Medicaid | VA | |
| 8271909 | Medicaid | NJ |
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