Provider Demographics
NPI:1992996052
Name:D.R. GAMMONS & ASSOCIATES, INC.
Entity type:Organization
Organization Name:D.R. GAMMONS & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENETEN
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:GAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-277-3114
Mailing Address - Street 1:23752 E ALABAMA DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-3023
Mailing Address - Country:US
Mailing Address - Phone:720-277-3114
Mailing Address - Fax:720-277-3116
Practice Address - Street 1:23752 E ALABAMA DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-3023
Practice Address - Country:US
Practice Address - Phone:720-277-3114
Practice Address - Fax:720-277-3116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management