Provider Demographics
NPI:1972001915
Name:MEN WHO CARE, INC
Entity Type:Organization
Organization Name:MEN WHO CARE, INC
Other - Org Name:MEN WHO CARE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:313-806-2852
Mailing Address - Street 1:4860 CHAMBERS RD # 54
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-5152
Mailing Address - Country:US
Mailing Address - Phone:720-445-6303
Mailing Address - Fax:720-452-6206
Practice Address - Street 1:12000 E 47TH AVE STE 112
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-3115
Practice Address - Country:US
Practice Address - Phone:720-445-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0001128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty