De Novo Wellness Center Llc | |
1005 N 10th St Canon City CO 81212-3035 | |
(719) 400-8836 | |
Not Available |
Full Name | De Novo Wellness Center Llc |
---|---|
Speciality | Counselor |
Location | 1005 N 10th St, Canon City, Colorado |
Authorized Official Name and Position | Amanda Union (OWNER) |
Authorized Official Contact | 7194008836 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
De Novo Wellness Center Llc 1005 N 10th St Canon City CO 81212-3035 Ph: (719) 400-8836 | De Novo Wellness Center Llc 1005 N 10th St Canon City CO 81212-3035 Ph: (719) 400-8836 |
NPI Number | 1417718230 |
---|---|
Provider Enumeration Date | 01/18/2024 |
Last Update Date | 01/18/2024 |
Certification Date | 01/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417718230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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