| Children's Trauma Center, Llc | |
|
26719 Pleasant Park Rd, Ste 120 Conifer CO 80433-7753 | |
| (720) 262-1279 | |
| Not Available |
| Full Name | Children's Trauma Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 26719 Pleasant Park Rd, Ste 120, Conifer, Colorado |
| Authorized Official Name and Position | Karen R Blackwell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7202621279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Trauma Center, Llc 26719 Pleasant Park Rd Ste 120 Conifer CO 80433-7753 Ph: (720) 262-1279 | Children's Trauma Center, Llc 26719 Pleasant Park Rd, Ste 120 Conifer CO 80433-7753 Ph: (720) 262-1279 |
| NPI Number | 1376272377 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376272377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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