| Walkabout Village Llc | |
|
5543 S Himalaya Way Centennial CO 80015-3695 | |
| (303) 953-2953 | |
| Not Available |
| Full Name | Walkabout Village Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5543 S Himalaya Way, Centennial, Colorado |
| Authorized Official Name and Position | Dawn Marie Rhods (OWNER) |
| Authorized Official Contact | 3039532953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walkabout Village Llc 5543 S Himalaya Way Centennial CO 80015-3695 Ph: (303) 953-2953 | Walkabout Village Llc 5543 S Himalaya Way Centennial CO 80015-3695 Ph: (303) 953-2953 |
| NPI Number | 1316306293 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316306293 | NPI | - | NPPES |
| 1316306293 | Medicaid | CO | |
| 71239855 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 71239855 (Colorado) | Primary |
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