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Contact Information

11TH HOUR TRAUMA RETREAT, LLC
7430 E CALEY AVE STE 130
CENTENNIAL, CO80111-6716
 Phone: 772-475-3334
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for 11TH HOUR TRAUMA RETREAT, LLC

NPI # 1134983927
LBN Legal business name 11TH HOUR TRAUMA RETREAT, LLC
Authorized official RACHAEL STARR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2024
Last updated 02/12/2024 - About 2 years ago
Identifiers n/a
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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