| Wellness Treatment Center | |
|
800 Englewood Pkwy Suite B202 Englewood CO 80110-7315 | |
| (303) 777-0303 | |
| (303) 733-4565 |
| Full Name | Wellness Treatment Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 800 Englewood Pkwy, Englewood, Colorado |
| Authorized Official Name and Position | Louis Leon Bruno (EXECUTIVE MEDICAL DIRECTOR) |
| Authorized Official Contact | 3037770303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Treatment Center 800 Englewood Pkwy Suite B202 Englewood CO 80110-7315 Ph: (303) 777-0303 | Wellness Treatment Center 800 Englewood Pkwy Suite B202 Englewood CO 80110-7315 Ph: (303) 777-0303 |
| NPI Number | 1306086418 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 10/01/2010 |
| Medicare PECOS PAC ID | 5890932123 |
|---|---|
| Medicare Enrollment ID | O20130506000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306086418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Louis Bruno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770637159 PECOS PAC ID: 9234376443 Enrollment ID: I20130508000130 |
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