| Mmclinic, Llc | |
|
75 Manhattan Dr Ste 106 Boulder CO 80303-4251 | |
| (303) 562-4128 | |
| Not Available |
| Full Name | Mmclinic, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 75 Manhattan Dr Ste 106, Boulder, Colorado |
| Authorized Official Name and Position | Alison Mcqueen (CLINIC DIRECTOR) |
| Authorized Official Contact | 3035624128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmclinic, Llc 75 Manhattan Dr Ste 106 Boulder CO 80303-4251 Ph: (303) 562-4128 | Mmclinic, Llc 75 Manhattan Dr Ste 106 Boulder CO 80303-4251 Ph: (303) 562-4128 |
| NPI Number | 1831868272 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831868272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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