Tim Brent

NPI #1518229434 in Aurora, Colorado

Provider Information

NPI Number
1518229434
Entity Type
Organization
Organization Name
Tim Brent
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jun 15, 2012
Last Updated
Jun 15, 2012

Practice Location

Address
17908 E AMHERST AVE
City
Aurora
ZIP Code
80013-2122
Phone
(720) 324-3755

Authorized Official

Name
MR. TIMOTHY LAMARR BRENT SR., BS
Title
MENTAL HEALTH TECH
Phone
(303) 617-9298

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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