NPI 1578878476

Community Reach Center

Organisation Preferred Provider Organization Northglenn, CO

Practice location

Address: 11285 Highline Dr, Northglenn, CO 80233-3076
Phone: (303) 853-3564
Fax: (303) 428-7618
Mailing address: 9541 Welby Rd. #633, Thornton, CO 80229

Authorised official

Name: Dominga C Martinez
Title: Therapist
Phone: (303) 853-3564

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Colorado →

Registry record

NPI: 1578878476
Entity type: Organization
NPI issued: 16 Aug 2010
Record last updated: 16 Aug 2010

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.