| Good Place Provider Network Llc | |
|
1624 Market St Ste 202 Denver CO 80202-1518 | |
| (720) 770-8484 | |
| Not Available |
| Full Name | Good Place Provider Network Llc |
|---|---|
| Speciality | Counselor |
| Location | 1624 Market St Ste 202, Denver, Colorado |
| Authorized Official Name and Position | Cynthia Wright (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7207708484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Place Provider Network Llc 1624 Market St Ste 202 Denver CO 80202-1518 Ph: (720) 770-8484 | Good Place Provider Network Llc 1624 Market St Ste 202 Denver CO 80202-1518 Ph: (720) 770-8484 |
| NPI Number | 1477131795 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 03/30/2021 |
| Certification Date | 03/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477131795 | NPI | - | NPPES |
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