| Into The Grey Behavioral Health Services | |
|
4845 Pearl East Cir Ste 118 Pmb 68698 Boulder CO 80301-6112 | |
| (720) 365-4497 | |
| Not Available |
| Full Name | Into The Grey Behavioral Health Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4845 Pearl East Cir Ste 118, Boulder, Colorado |
| Authorized Official Name and Position | Victoria Spenser-nicholas Grey (CORE DIRECTOR) |
| Authorized Official Contact | 7203654497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Into The Grey Behavioral Health Services 4845 Pearl East Cir Ste 118 Pmb 68698 Boulder CO 80301-6112 Ph: (720) 365-4497 | Into The Grey Behavioral Health Services 4845 Pearl East Cir Ste 118 Pmb 68698 Boulder CO 80301-6112 Ph: (720) 365-4497 |
| NPI Number | 1013641471 |
|---|---|
| Provider Enumeration Date | 07/12/2022 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013641471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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