Provider Demographics
NPI:1134443294
Name:TENNYSON CENTER FOR CHILDREN
Entity type:Organization
Organization Name:TENNYSON CENTER FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATROUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-433-2541
Mailing Address - Street 1:2950 TENNYSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-3029
Mailing Address - Country:US
Mailing Address - Phone:720-855-3244
Mailing Address - Fax:303-433-9701
Practice Address - Street 1:2950 TENNYSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-3029
Practice Address - Country:US
Practice Address - Phone:720-855-3244
Practice Address - Fax:303-433-9701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TENNYSON CENTER FOR CHILDREN AT COLORADO CHRISTIAN HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5281251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health