NPI 1780092056

Community Re-Entry Place Inside/Out

Organisation Preferred Provider Organization Aurora, CO

Practice location

Address: 14221 E 4th Ave STE 330, Aurora, CO 80011-8727
Phone: (720) 207-5041

Authorised official

Name: Deborah Lee Winans
Title: Founder, Executive Director
Phone: (720) 207-5041

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1720-01 (CO)

Other Preferred Provider Organization providers in Colorado →

Registry record

NPI: 1780092056
Entity type: Organization
NPI issued: 30 Jul 2014
Record last updated: 30 Jul 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.