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220 S Yarrow St Lakewood CO 80226-1528 | |
(720) 485-8006 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 220 S Yarrow St, Lakewood, Colorado |
Authorized Official Name and Position | Reuel Hunt (OWNER) |
Authorized Official Contact | 7204858006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3758 E 104th Ave # 20 Thornton CO 80233-4434 Ph: (480) 221-9850 | 220 S Yarrow St Lakewood CO 80226-1528 Ph: (720) 485-8006 |
NPI Number | 1306563275 |
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Provider Enumeration Date | 10/21/2022 |
Last Update Date | 10/23/2023 |
Identifier | Type | State | Issuer |
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1306563275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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