ETHAN SELVIG LLC

BROOMFIELD, CO
NPI1417409442
Entity TypeOrganization
Authorized ContactETHAN SELVIG
Owner
724-713-1016
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: CO  1686)
Enumeration Date2016-10-25
Last Update Date2016-10-25
Business Address
ETHAN SELVIG LLC
80 GARDEN CTR STE 222
BROOMFIELD, CO 80020-1735
Phone number: 724-713-1016
Mailing Address
ETHAN SELVIG LLC
80 GARDEN CTR STE 222
BROOMFIELD, CO 80020-1735
Phone number:
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