Community Re-Entry Place Inside/out

NPI #1780092056 in Aurora, Colorado

Provider Information

NPI Number
1780092056
Entity Type
Organization
Organization Name
Community Re-Entry Place Inside/out
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jul 30, 2014
Last Updated
Jul 30, 2014

Practice Location

Address
14221 E 4TH AVE STE 330
City
Aurora
ZIP Code
80011-8727
Phone
(720) 207-5041

Authorized Official

Name
MRS. DEBORAH LEE WINANS, CHAPLAIN BA, CACIII
Title
FOUNDER, EXECUTIVE DIRECTOR
Phone
(720) 207-5041

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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