Healthcare Provider Details

I. General information

NPI: 1598065724
Provider Name (Legal Business Name): GARDEN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5844 W 39TH AVE
DENVER CO
80212-7201
US

IV. Provider business mailing address

17737 E BELLEVIEW PL
CENTENNIAL CO
80015-2304
US

V. Phone/Fax

Practice location:
  • Phone: 303-306-8259
  • Fax:
Mailing address:
  • Phone: 720-427-4254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MOLLY BERGLUND
Title or Position: DIRECTOR
Credential:
Phone: 303-306-8259