Healthcare Provider Details

I. General information

NPI: 1700630456
Provider Name (Legal Business Name): MILE HIGH COUNCIL ON ALCOHOLISM AND DRUG ABUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10190 MONTVIEW BLVD
AURORA CO
80010-2202
US

IV. Provider business mailing address

PO BOX 919
AURORA CO
80040-0919
US

V. Phone/Fax

Practice location:
  • Phone: 303-825-8113
  • Fax: 303-825-8166
Mailing address:
  • Phone: 303-825-8113
  • Fax: 303-825-8166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ZANE GUILFOYLE
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential:
Phone: 720-675-7116