Organization Name: | TOWNE SQUARE ASSOCIATES, LLC |
NPI Number: | 1003073982 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARYL MCBRIDE (OWNER) |
Mailing Address: | 5738 Olde Wadsworth Blvd Arvada |
State: | CO US |
Postal Code: | 800022535 |
Phone Number: | 3034209565 |
Fax Number: | 3034569284 |
NPI Enumeration Date: | 05/19/2008 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |