Healthcare Provider Details

I. General information

NPI: 1013830330
Provider Name (Legal Business Name): SILVER PEAK BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11175 E MISSISSIPPI AVE STE 220
AURORA CO
80012-3137
US

IV. Provider business mailing address

11175 E MISSISSIPPI AVE STE 220
AURORA CO
80012-3137
US

V. Phone/Fax

Practice location:
  • Phone: 973-277-5359
  • Fax:
Mailing address:
  • Phone: 973-277-5359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRYAN DISIMONE
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 973-277-5359