OrganizationActive
A Dementia Journey, LLC
NPI 1073401469 · Clinical Social Worker · Canon City, CO
Provider details
- NPI number
- 1073401469
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nancy Greenstreet, Owner(719) 251-2568
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
49200 W US Highway 50
Canon City, CO 81212-9748
Phone: (719) 251-2568
Fax: (877) 752-2076
Approximate (ZIP-level) locationGet directions
Mailing address
49200 W US Highway 50
Canon City, CO 81212-9748
Registry dates
- Enumerated
- 2025-06-25
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.