| 11th Hour Trauma Retreat, Llc | |
|
7430 E Caley Ave Ste 130 Centennial CO 80111-6716 | |
| (772) 475-3334 | |
| Not Available |
| Full Name | 11th Hour Trauma Retreat, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7430 E Caley Ave Ste 130, Centennial, Colorado |
| Authorized Official Name and Position | Rachael Starr (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7724753334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 11th Hour Trauma Retreat, Llc 3386 Carabiner St Castle Rock CO 80108-7850 Ph: (772) 475-3334 | 11th Hour Trauma Retreat, Llc 7430 E Caley Ave Ste 130 Centennial CO 80111-6716 Ph: (772) 475-3334 |
| NPI Number | 1134983927 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134983927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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