Provider Demographics
NPI:1790059582
Name:PROJECT WISE A WOMEN'S INITIATIVEFOR SERVICE AND EMPOWERMENT
Entity Type:Organization
Organization Name:PROJECT WISE A WOMEN'S INITIATIVEFOR SERVICE AND EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:GABBAY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:303-765-5879
Mailing Address - Street 1:1301 KALAMATH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2526
Mailing Address - Country:US
Mailing Address - Phone:303-765-5879
Mailing Address - Fax:303-765-5913
Practice Address - Street 1:1301 KALAMATH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2526
Practice Address - Country:US
Practice Address - Phone:303-765-5879
Practice Address - Fax:393-765-5913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
19951135691OtherCOLORADO SECRATARY OF STATE