Buffalo Run Group Home, Inc.
NPI #1841584919 in Fort Lupton, Colorado
Provider Information
- NPI Number
- 1841584919
- Entity Type
- Organization
- Organization Name
- Buffalo Run Group Home, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 6, 2011
- Last Updated
- Jun 6, 2011
Practice Location
- Address
- 14459 COUNTY ROAD 18 1/2
- City
- Fort Lupton
- State
- Colorado
- ZIP Code
- 80621-9211
- Phone
- (303) 318-0311
Authorized Official
- Name
- LAURA WILSON
- Title
- PRESIDENT
- Phone
- (303) 318-0311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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