Provider Demographics
NPI:1871795963
Name:INSTITUTE FOR ATTACHMENT & CHILD DEVELOPMENT, INC.
Entity type:Organization
Organization Name:INSTITUTE FOR ATTACHMENT & CHILD DEVELOPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FORREST
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-674-1910
Mailing Address - Street 1:5921 MIDDLEFIELD RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2860
Mailing Address - Country:US
Mailing Address - Phone:303-674-1910
Mailing Address - Fax:303-670-3983
Practice Address - Street 1:5921 MIDDLEFIELD RD STE 201
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2860
Practice Address - Country:US
Practice Address - Phone:303-674-1910
Practice Address - Fax:303-670-3983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9924441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty