Provider Demographics
NPI:1255796595
Name:JEWISH FAMILY SERVICE OF COLORADO
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICE OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:VEENSTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-597-5000
Mailing Address - Street 1:3800 KALMIA AVE.
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301
Mailing Address - Country:US
Mailing Address - Phone:303-946-0293
Mailing Address - Fax:
Practice Address - Street 1:3800 KALMIA AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1827
Practice Address - Country:US
Practice Address - Phone:303-946-0293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management