| Maple Star Colorado Dba Clarvida | |
|
635 W Corona Ave Ste 209 Pueblo CO 81004-1210 | |
| (303) 433-1975 | |
| Not Available |
| Full Name | Maple Star Colorado Dba Clarvida |
|---|---|
| Speciality | Case Management |
| Location | 635 W Corona Ave Ste 209, Pueblo, Colorado |
| Authorized Official Name and Position | Heather Morris (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3034331975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Star Colorado Dba Clarvida 2250 S Oneida St Ste 200 Denver CO 80224-2558 Ph: (303) 564-2595 | Maple Star Colorado Dba Clarvida 635 W Corona Ave Ste 209 Pueblo CO 81004-1210 Ph: (303) 433-1975 |
| NPI Number | 1871178814 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871178814 | NPI | - | NPPES |
| 90967 | Other | FOSTER CARE LICENSE |
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