PHILIP VIDAL

THORNTON, CO
NPI1124363429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  6248)
Enumeration Date2012-11-28
Last Update Date2022-07-21
Business Address
-- PHILIP VIDAL
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-853-3500
Mailing Address
-- PHILIP VIDAL
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-853-3500
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