Healthcare Provider Details

I. General information

NPI: 1891304424
Provider Name (Legal Business Name): ACCOUNTABILITY IN REHABILITATIVE AND RESTORATIVE TREATMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 S PARKER RD STE 430
AURORA CO
80014-2802
US

IV. Provider business mailing address

2851 S PARKER RD STE 430
AURORA CO
80014-2802
US

V. Phone/Fax

Practice location:
  • Phone: 720-263-0147
  • Fax: 303-648-6848
Mailing address:
  • Phone: 720-263-0147
  • Fax: 303-648-6848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DARCI ARCHER
Title or Position: PARTNER
Credential:
Phone: 720-263-0147