Provider First Line Business Practice Location Address:
12911 WEST 40TH AVENUE
Provider Second Line Business Practice Location Address:
BEHAVIORAL HEALTH ER DEPARTMENT
Provider Business Practice Location Address City Name:
WHEAT RIDGE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-265-2043
Provider Business Practice Location Address Fax Number:
303-467-4029
Provider Enumeration Date:
02/24/2016