Provider Demographics
NPI:1508285669
Name:ANIMAL ASSISTED THERAPY PROGRAMS OF COLORADO
Entity Type:Organization
Organization Name:ANIMAL ASSISTED THERAPY PROGRAMS OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-266-4444
Mailing Address - Street 1:7275 KIPLING ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-3857
Mailing Address - Country:US
Mailing Address - Phone:720-266-4444
Mailing Address - Fax:720-266-4444
Practice Address - Street 1:7275 KIPLING ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3857
Practice Address - Country:US
Practice Address - Phone:720-266-4444
Practice Address - Fax:720-266-4444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO835251S00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42870089Medicaid