Provider Demographics
NPI:1154149805
Name:REFUGE SUPPORT NETWORK INC
Entity type:Organization
Organization Name:REFUGE SUPPORT NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-538-0225
Mailing Address - Street 1:14201 E 4TH AVE STE 4-220
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8748
Mailing Address - Country:US
Mailing Address - Phone:720-538-0225
Mailing Address - Fax:
Practice Address - Street 1:14201 E 4TH AVE STE 4-220
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8748
Practice Address - Country:US
Practice Address - Phone:720-538-0225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management