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4045 S Broadway Englewood CO 80113-4694 | |
| (720) 415-7016 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4045 S Broadway, Englewood, Colorado |
| Authorized Official Name and Position | Monica Mcintyre Zienkewicz (THERAPIST) |
| Authorized Official Contact | 7204157016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4 Sunset Ln Greenwood Village CO 80121-1250 Ph: (720) 507-4696 | 4045 S Broadway Englewood CO 80113-4694 Ph: (720) 415-7016 |
| NPI Number | 1831831296 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831831296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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