Individual provider · Type 1 NPI

Patrick Edwin Vandiver, QBHA PRC

Peer Specialist · Centennial, CO

NPI number 1295631752 Active

Practice location

6860 S Yosemite Ct Ste 2000
Centennial, CO 80112-1448

Mailing address

3718 S Truckee Way
Aurora, CO 80013-3456

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1295631752

Patrick Edwin Vandiver, QBHA PRC's National Provider Identifier is 1295631752, issued on Oct 19, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Centennial, CO. The record was last updated on Oct 19, 2026.