| Denver & Aurora Recreation & Treatment (dart) Center | |
|
13710 E Rice Pl Ste 220 Aurora CO 80015 | |
| (303) 929-2176 | |
| Not Available |
| Full Name | Denver & Aurora Recreation & Treatment (dart) Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 13710 E Rice Pl Ste 220, Aurora, Colorado |
| Authorized Official Name and Position | Aleksandr Boyko (OWNER, THERAPIST) |
| Authorized Official Contact | 3039292176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver & Aurora Recreation & Treatment (dart) Center 4548 S Atchison Way Aurora CO 80015-5648 Ph: (303) 929-2176 | Denver & Aurora Recreation & Treatment (dart) Center 13710 E Rice Pl Ste 220 Aurora CO 80015 Ph: (303) 929-2176 |
| NPI Number | 1730574229 |
|---|---|
| Provider Enumeration Date | 04/01/2015 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Medicare PECOS PAC ID | 9830534254 |
|---|---|
| Medicare Enrollment ID | O20240226001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730574229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC.0012196 (Colorado) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Aleksandr Boyko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134510993 PECOS PAC ID: 0749625168 Enrollment ID: I20240226001394 |
| Provider Name | Anna Olegovna Boyko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245759604 PECOS PAC ID: 9436594850 Enrollment ID: I20240226001550 |
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