| Providence Network | |
|
357 N Broadway Denver CO 80203-3920 | |
| (303) 860-8404 | |
| Not Available |
| Full Name | Providence Network |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 357 N Broadway, Denver, Colorado |
| Authorized Official Name and Position | Derek Kuykendall (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3038608484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Network 357 N Broadway Denver CO 80203-3920 Ph: (303) 860-8404 | Providence Network 357 N Broadway Denver CO 80203-3920 Ph: (303) 860-8404 |
| NPI Number | 1285492942 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285492942 | NPI | - | NPPES |
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