Lifetime Wellness, Inc.

NPI #1174714265 in Boulder, Colorado

Provider Information

NPI Number
1174714265
Entity Type
Organization
Organization Name
Lifetime Wellness, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 5, 2007
Last Updated
Aug 5, 2007

Practice Location

Address
1675 UPLAND AVE
ZIP Code
80304-0830
Phone
(303) 589-6802

Authorized Official

Name
DIANE B BYINGTON, LCSW
Title
PRESIDENT
Phone
(303) 589-6802

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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