| Glorious Works Neurotherapy | |
|
115 N 7th Street Canon City CO 81212 | |
| (585) 991-9063 | |
| Not Available |
| Full Name | Glorious Works Neurotherapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115 N 7th Street, Canon City, Colorado |
| Authorized Official Name and Position | Tricia Williamson (OWNER) |
| Authorized Official Contact | 5859919063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glorious Works Neurotherapy 115 N 7th Street Canon City CO 81212 Ph: (585) 991-9063 | Glorious Works Neurotherapy 115 N 7th Street Canon City CO 81212 Ph: (585) 991-9063 |
| NPI Number | 1942841374 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 10/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942841374 | NPI | - | NPPES |
| 1699293151 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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