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5600 S Quebec St Ste 126b Greenwood Village CO 80111-2209 | |
| (720) 669-1285 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 5600 S Quebec St Ste 126b, Greenwood Village, Colorado |
| Authorized Official Name and Position | Scott Lister (COO) |
| Authorized Official Contact | 7206691285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5600 S Quebec St Ste 126b Greenwood Village CO 80111-2209 Ph: (720) 669-1285 | 5600 S Quebec St Ste 126b Greenwood Village CO 80111-2209 Ph: (720) 669-1285 |
| NPI Number | 1578051553 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578051553 | NPI | - | NPPES |
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