Provider Demographics
NPI:1114264777
Name:OPTIMAL SOLUTIONS COLORADO
Entity Type:Organization
Organization Name:OPTIMAL SOLUTIONS COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-514-0109
Mailing Address - Street 1:401 SMITH CIR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-8472
Mailing Address - Country:US
Mailing Address - Phone:720-514-0109
Mailing Address - Fax:303-665-4459
Practice Address - Street 1:215 CHEESMAN ST.
Practice Address - Street 2:SUITE K
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-8472
Practice Address - Country:US
Practice Address - Phone:720-514-0109
Practice Address - Fax:303-665-4459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty