Healthcare Provider Details

I. General information

NPI: 1134086796
Provider Name (Legal Business Name): REFOUND CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 WELTON ST
DENVER CO
80205-3020
US

IV. Provider business mailing address

2831 N YORK ST
DENVER CO
80205-4658
US

V. Phone/Fax

Practice location:
  • Phone: 720-783-2737
  • Fax:
Mailing address:
  • Phone: 808-345-7393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. INDIZO MOON
Title or Position: FOUNDER / MANAGING PARTNER
Credential: PMHNP
Phone: 808-345-7393