institution
Jan Paul Goldberg
Methadone Clinic in Denver, Colorado
NPI 1700263183

Jan Paul Goldberg is a Methadone Clinic based in Denver, CO and is specialized in Methadone. Jan Paul Goldberg practices in Denver, CO. The NPI Number for Jan Paul Goldberg is 1700263183 and holds a License No. 21715 (Colorado).

The current practice location address for Jan Paul Goldberg is 816 Acoma St, Denver, CO and can be reached out via phone at 303-912-4900 and via fax at 720-328-9367.

Location: 816 Acoma St, Denver, CO, 80204-4010
institution
Provider Profile Details
NPI Number
1700263183
Provider Name
Jan Paul Goldberg
Credential
Provider Entity Type
Organization
Address
816 Acoma St, Denver, CO, 80204-4010
Phone Number
303-912-4900
Fax Number
720-328-9367
Provider Enumeration Date
05/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21715 01 CO COLORADO LICENSE
institution
Provider Business Practice Location Address Details
Address
816 Acoma St
City
State
Zip
80204-4010
Phone Number
303-912-4900
Fax Number
720-328-9367
person
Provider Business Mailing Address Details
Address
816 Acoma St
City
State
Zip
80204-4010
Phone Number
303-912-4900
Fax Number
720-328-9367
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
21715 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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