Mark Grebener, Llc in Centennial - Addiction (substance Use Disorder)

Mark Grebener, Llc - NPI 1063697738

Mark Grebener, Llc is a Addiction (substance Use Disorder) in Centennial, Colorado. Mark Grebener, Llc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mark Grebener, Llc is 1063697738. The last update date is 2007-12-31.

Mark Grebener, Llc's current location address is 1418 E Irwin Ln, Centennial, Colorado. You can contact this provider via phone number 3038834808 and fax number 3037946736. The mailing address for Mark Grebener, Llc is 1418 E Irwin Ln, Centennial, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mark Grebener, Llc
Address 1418 E Irwin Ln, Centennial, Colorado
Phone Number 3038834808
Fax Number 3037946736
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRINCIPAL
Authorized Official Name Grebener Mark
Credentials LCSW, LAC
Telephone Number 3038834808

NPI Number Detail

NPI Number 1063697738
Provider Enumeration Date 2007-12-31
Last Updated Date 2007-12-31

Provider Mailing Address Detail

Address 1418 E Irwin Ln
City Centennial
State Colorado (CO)
Post Code 801223081
Phone Number 3038834808
Fax Number 3037946736

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LAC127
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Mark Grebener, Llc

What is the unique provider identifier assigned to Mark Grebener, Llc?

The Mark Grebener, Llc has been issued the NPI (National Provider Identifier) 1063697738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mark Grebener, Llc's facilities are geographically located?

The facilities of Mark Grebener, Llc are physically situated at the following location: 1418 E Irwin Ln, Centennial, CO, 801223081.

What is Mark Grebener, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Grebener, Llc is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date did the Mark Grebener, Llc receive its 1063697738 assignment from the Centers for Medicare & Medicaid Services?

The Mark Grebener, Llc was assigned its 1063697738 by the Centers for Medicare & Medicaid Services on 2007-12-31.

As of what date were the Mark Grebener, Llc's details last updated?

The information pertaining to the Mark Grebener, Llc, including its address, specialty, and other details, was most recently updated on 2007-12-31.

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