Provider Demographics
NPI:1730478439
Name:DARSAN, INC.
Entity Type:Organization
Organization Name:DARSAN, INC.
Other - Org Name:DARRELL SANCHEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-447-1539
Mailing Address - Street 1:P.O. BOX 7108
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80306-7108
Mailing Address - Country:US
Mailing Address - Phone:303-447-1539
Mailing Address - Fax:
Practice Address - Street 1:2031 BROADWAY
Practice Address - Street 2:# 7
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-0000
Practice Address - Country:US
Practice Address - Phone:303-447-1539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty