NONE

BOULDER, CO
NPI1457818932
Entity TypeOrganization
Authorized ContactKENNETH MCDONALD
Owner
415-264-9504
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2019-02-21
Last Update Date2019-02-21
Business Address
NONE
9347 SUGARLOAF RD
BOULDER, CO 80302-9221
Phone number: 415-264-9504
Mailing Address
NONE
9347 SUGARLOAF RD
BOULDER, CO 80302-9221
Phone number: 415-264-9504
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