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THIRD WAY CENTER INC NPI 1457015604


NPI Information

NPI: 1457015604
Provider Name: THIRD WAY CENTER, INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 06D2097654

Address:
1295 YORK ST
DENVER, CO
ZIP 80206
Phone: (303) 320-3790
Get Directions

THIRD WAY CENTER, INC is a residential treatment facility emotionally disturbed children in Denver, CO. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. THIRD WAY CENTER, INC NPI is 1457015604. The provider is registered as an organization entity type.

The provider's business location address is:

1295 YORK ST
DENVER, CO
ZIP 80206-008
Phone: (303) 320-3790

The provider's authorized official is Erin Martin .
The authorized official title is Data Operations Coordinator and has the following contact phone number (303) 780-9191.

The CLIA number assigned to this NPI record is 06D2097654 - other - residential treatment ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2021 and was last updated on 10/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145601747MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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