| Living Well Transitions | |
|
1320 Pearl St Ste 320 Boulder CO 80302-5370 | |
| (303) 245-1020 | |
| (303) 245-1001 |
| Full Name | Living Well Transitions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1320 Pearl St Ste 320, Boulder, Colorado |
| Authorized Official Name and Position | Carl R Baccellieri (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3032451020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Transitions 1320 Pearl St Ste 320 Boulder CO 80302-5370 Ph: (303) 245-1020 | Living Well Transitions 1320 Pearl St Ste 320 Boulder CO 80302-5370 Ph: (303) 245-1020 |
| NPI Number | 1336550235 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336550235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NONE REQUIRED (Colorado) | Primary |
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