Leslie Pottebaum

NPI #1497308670 in Arvada, Colorado

Provider Information

NPI Number: 1497308670
Entity Type: Organization
Organization Name: Leslie Pottebaum
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 17, 2019
Last Updated: Jul 26, 2024

Practice Location

Address: 16155 W 74TH DR
City: Arvada
State: Colorado
ZIP Code: 80007-7828
Phone: (303) 912-1111

Authorized Official

Name: LESLIE POTTEBAUM
Title: SOLE PROPRIETOR
Phone: (303) 912-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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