NPI | 1649838590 |
---|---|
Doing Business As | BOULDER CARE |
Entity Type | Organization |
Authorized Contact | PIA SHIVDASANI VP Operations, Authorized Agent 888-288-4715 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2019-06-04 |
Last Update Date | 2024-06-26 |