Provider Demographics
NPI:1629804588
Name:OVER THE RAINBOW PROJECT
Entity type:Organization
Organization Name:OVER THE RAINBOW PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASTEDENBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-224-7187
Mailing Address - Street 1:6860 S YOSEMITE CT STE 2207
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1409
Mailing Address - Country:US
Mailing Address - Phone:207-580-2696
Mailing Address - Fax:
Practice Address - Street 1:6860 S YOSEMITE CT STE 2207
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1409
Practice Address - Country:US
Practice Address - Phone:207-580-2696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty