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NPI Code Detail

MEDICARE: ASIAN PACIFIC CENTER FOR HUMAN DEVELOPMENT

MEDICARE: ASIAN PACIFIC CENTER FOR HUMAN DEVELOPMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QC1500XCommunity Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578773214
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASIAN PACIFIC CENTER FOR HUMAN DEVELOPMENT
Provider Business Mailing Address
First Line : 1290 CHAMBERS RD
Second Line :
City : AURORA
State : CO
Zip : 80011-7117
Country : US
Telephone Number : 303-617-2300
Fax Number :
Provider Business Practice Location Address
First Line : 1537 ALTON ST
Second Line :
City : AURORA
State : CO
Zip : 80010-1712
Country : US
Telephone Number : 303-617-2300
Fax Number :
Authorized Official
Title or Position : CEO
Name : HARRY BUDISIDHARTA
Credential :
Telephone Number : 303-923-2920
Provider Enumeration Date : 05/23/2007
Last Update Date : 12/04/2020

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Directions to “ASIAN PACIFIC CENTER FOR HUMAN DEVELOPMENT ” Practice Location

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