AWAKEN IV

BOULDER, CO
NPI1417810631
Entity TypeOrganization
Authorized ContactNICHOLAS WINGO
CEO
303-929-0946
Organization Subpart ?No
Primary Taxonomy261QI0500X Clinic/Center, Infusion Therapy
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2025-12-04
Last Update Date2025-12-04
Business Address
AWAKEN IV
5277 MANHATTAN CIR STE 260
BOULDER, CO 80303-8201
Phone number: 303-409-3690
Mailing Address
AWAKEN IV
5277 MANHATTAN CIR STE 260
BOULDER, CO 80303-8201
Phone number: 303-409-3690