Provider Demographics
NPI:1235689696
Name:MUSLIM FAMILY SERVICES OF COLORADO
Entity Type:Organization
Organization Name:MUSLIM FAMILY SERVICES OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARROLL
Authorized Official - Middle Name:AVON
Authorized Official - Last Name:WATKINS ALI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-755-5228
Mailing Address - Street 1:PO BOX 201645
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-7645
Mailing Address - Country:US
Mailing Address - Phone:303-755-5228
Mailing Address - Fax:303-296-3468
Practice Address - Street 1:3400 ALBION ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1816
Practice Address - Country:US
Practice Address - Phone:303-755-5228
Practice Address - Fax:303-296-3468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management