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Contact Information

BOULDER ALCOHOL EDUCATION CENTER INC
1525 SPRUCE ST STE 100
BOULDER, CO80302-4256
 Phone: 303-444-6142
 Fax: 303-444-6177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BOULDER ALCOHOL EDUCATION CENTER INC

NPI # 1992345458
LBN Legal business name BOULDER ALCOHOL EDUCATION CENTER INC
Authorized official JOHN GILBURT - (OWNER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2020
Last updated 01/13/2020 - About 6 years ago
Identifiers
CO Other 1111-00 COLORADO OFFICE OF BEHAVIORAL HEALTH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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