| The Reentry Initiative | |
|
402 Kimbark St Longmont CO 80501-5526 | |
| (720) 593-0384 | |
| Not Available |
| Full Name | The Reentry Initiative |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 402 Kimbark St, Longmont, Colorado |
| Authorized Official Name and Position | Emily M Kleeman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7205930384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Reentry Initiative 402 Kimbark St Longmont CO 80501-5526 Ph: (720) 593-0384 | The Reentry Initiative 402 Kimbark St Longmont CO 80501-5526 Ph: (720) 593-0384 |
| NPI Number | 1225641962 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225641962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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