Provider Demographics
NPI:1902277122
Name:CATHOLIC CHARITIES OF DENVER, CO
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF DENVER, CO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/CLINICAL DIRE
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:PACE
Authorized Official - Suffix:IV
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-377-1359
Mailing Address - Street 1:5990 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:BUILDING 2 SUITE 200
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:720-377-1359
Mailing Address - Fax:720-399-2548
Practice Address - Street 1:5990 GREENWOOD PLAZA BLVD
Practice Address - Street 2:BUILDING 2 SUITE 200
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:720-377-1359
Practice Address - Fax:720-399-2548
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES OF DENVER, CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-14
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty