FREDRICK C. WIDMAN

NORTHGLENN, CO
NPI1821875600
Doing Business AsRELIANT SERVICES LLC
Entity TypeOrganization
Authorized ContactPENNY WIDMAN
Office Manager
303-345-4568
Organization Subpart ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-09-13
Last Update Date2023-09-13
Business Address
FREDRICK C. WIDMAN
11160 HURON ST STE 32
NORTHGLENN, CO 80234-3335
Phone number: 720-510-9115
Mailing Address
FREDRICK C. WIDMAN
2930 MADISON LN
BROOMFIELD, CO 80023-4522
Phone number: 303-345-4568