St. Vincent General Hospital District

NPI #1992443261 in Boulder, Colorado

Provider Information

NPI Number: 1992443261
Entity Type: Organization
Organization Name: St. Vincent General Hospital District
Subpart: Yes (part of a larger organization)
Parent Organization: ST. VINCENT GENERAL HOSPITAL DISTRICT
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 25, 2022
Last Updated: Aug 27, 2024

Practice Location

Address: 2503 WALNUT ST STE 201
City: Boulder
State: Colorado
ZIP Code: 80302-5745
Phone: (303) 883-6921

Authorized Official

Name: ANDREW DREESEN
Title: AUTHORIZED OFFICIAL
Phone: (719) 486-7161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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