Mamadou D Diallo

NPI #1942663810 in Aurora, Colorado

Provider Information

NPI Number: 1942663810
Entity Type: Individual
Name: Mamadou D Diallo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 30, 2016
Last Updated: Mar 30, 2016

Practice Location

Address: 11059 E BETHANY DR
Address 2: SUIT 200, AURORA, CO, 80014
City: Aurora
State: Colorado
ZIP Code: 80014-2622
Phone: (303) 617-2300

Specialties & Taxonomy Codes

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

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