Win Hbo

NPI #1093945685 in Basalt, Colorado

Provider Information

NPI Number
1093945685
Entity Type
Organization
Organization Name
Win Hbo
Primary Specialty
Clinic/Center
Enumeration Date
Jul 17, 2009
Last Updated
Dec 13, 2024

Practice Location

Address
1460 E VALLEY RD
Address 2
104
City
Basalt
ZIP Code
81621-8411
Phone
(970) 384-8447

Authorized Official

Name
MR. KIRK DOUGLAS HARTLEY, CHWS,DMT-A,B.S.
Title
CLINICAL DIRECTOR
Phone
(970) 927-4950

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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