Collaborative Service For Change Pc

LBN: Collaborative Service For Change Pc
Collaborative Service For Change Pc is an health care organization with primary practice located at 2480 W 26Th Ave Suite 130B, Denver CO 80211-5309. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Collaborative Service For Change Pc can be contacted via phone (303) 433-0188, or through Kisicki, Jeff Richard via phone (303) 433-0188.

Contact Information

Primary practice address
2480 W 26Th Ave Suite 130B Denver CO 80211-5309
Phone: (303) 433-0188
Fax: (303) 433-6145
Website:
Map and Directions
Authorized official contact:
Name: Kisicki, Jeff Richard Licensed Clinical Social Worker (LCSW)
Phone: (303) 433-0188

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 992298 Colorado

Profile Details

NPI number 1902350788
LBN Legal business name Collaborative Service For Change Pc
DBA Doing business as
Authorized official Kisicki, Jeff Richard Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2016
Last updated Aug 9th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902350788 NPPES
Colorado MEDICAID 42427851

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