Healthcare Provider Details

I. General information

NPI: 1760225015
Provider Name (Legal Business Name): AURORA COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1544 ELMIRA ST
AURORA CO
80010-2116
US

IV. Provider business mailing address

1290 CHAMBERS RD
AURORA CO
80011-7117
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-2300
  • Fax: 303-617-2344
Mailing address:
  • Phone: 303-617-2300
  • Fax: 303-617-2344

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: KATHLEEN M SNELL
Title or Position: CHIEF STRATEGY & OPERATIONS
Credential:
Phone: 303-617-2733