Provider Demographics
NPI:1508382417
Name:BRAIN INJURY ASSOCIATION OF COLORADO
Entity Type:Organization
Organization Name:BRAIN INJURY ASSOCIATION OF COLORADO
Other - Org Name:BRAIN INJURY ALLIANCE OF COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:KERKMANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-355-9969
Mailing Address - Street 1:7900 E COLFAX AVE STE B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3403
Mailing Address - Country:US
Mailing Address - Phone:303-355-9969
Mailing Address - Fax:
Practice Address - Street 1:7900 E COLFAX AVE STE B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3403
Practice Address - Country:US
Practice Address - Phone:303-355-9969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty