NPI 1194143263

Family Tree Wellness Institute, LLC.

Organisation Point of Service Englewood, CO

Practice location

Address: 3333 S Bannock St Suite 235, Englewood, CO 80110-2432
Phone: (850) 443-4203
Mailing address: 13093 W Cedar Dr APT. 223, Lakewood, CO 80228-1923

Authorised official

Name: Adam Michael Francis
Title: Owner Operator
Phone: (850) 443-4203

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence CHR0007058 (CO)

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Registry record

NPI: 1194143263
Entity type: Organization
NPI issued: 4 Apr 2014
Record last updated: 4 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.