| University Of Colorado | |
|
4200 E 9th Ave Box C288-5 Denver CO 80262-0001 | |
| (303) 315-5213 | |
| (303) 315-1750 |
| Full Name | University Of Colorado |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 4200 E 9th Ave, Denver, Colorado |
| Authorized Official Name and Position | Cory Sites (PRACTICE MANAGER) |
| Authorized Official Contact | 3033155213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Colorado 13624 N Travois Trl Parker CO 80138-8617 Ph: (303) 841-0158 | University Of Colorado 4200 E 9th Ave Box C288-5 Denver CO 80262-0001 Ph: (303) 315-5213 |
| NPI Number | 1477553014 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477553014 | NPI | - | NPPES |
| 07574775 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 57477 (Colorado) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 57477 (Colorado) | Primary |
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