Digital Media Treatment And Education Center, Llc | |
2299 Pearl St Ste 310 Boulder CO 80302-4671 | |
(303) 635-6753 | |
(303) 593-1058 |
Full Name | Digital Media Treatment And Education Center, Llc |
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Speciality | Counselor - Mental Health |
Location | 2299 Pearl St Ste 310, Boulder, Colorado |
Authorized Official Name and Position | Brett Kennedy (OWNER, CO-DIRECTOR) |
Authorized Official Contact | 3036328883 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Digital Media Treatment And Education Center, Llc 2299 Pearl St Ste 310 Boulder CO 80302-4671 Ph: (303) 635-6753 | Digital Media Treatment And Education Center, Llc 2299 Pearl St Ste 310 Boulder CO 80302-4671 Ph: (303) 635-6753 |
NPI Number | 1235791286 |
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Provider Enumeration Date | 06/30/2019 |
Last Update Date | 06/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235791286 | NPI | - | NPPES |
1639234545 | Medicaid | NY | |
1326345216 | Medicaid | CO |
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