Provider Demographics
NPI:1881017366
Name:HEALING WARRIORS PROGRAM
Entity Type:Organization
Organization Name:HEALING WARRIORS PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:YELEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSM, CHTP, HTCP
Authorized Official - Phone:720-231-9484
Mailing Address - Street 1:6525 GUNPARK DR
Mailing Address - Street 2:SUITE 370-195
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3346
Mailing Address - Country:US
Mailing Address - Phone:970-776-8387
Mailing Address - Fax:
Practice Address - Street 1:2001 S SHIELDS ST
Practice Address - Street 2:BUILDING L
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1827
Practice Address - Country:US
Practice Address - Phone:970-776-8787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable