Healthcare Provider Details
I. General information
NPI: 1003967738
Provider Name (Legal Business Name): GRIFFITH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7955 E ARAPAHOE CT STE 3100
CENTENNIAL CO
80112-1394
US
IV. Provider business mailing address
10190 BANNOCK ST STE 120
NORTHGLENN CO
80260-6052
US
V. Phone/Fax
- Phone: 303-237-6865
- Fax: 303-223-6873
- Phone: 303-237-6865
- Fax: 303-267-6873
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ESTHER
TORREZ
Title or Position: CONTROLLER
Credential: MA
Phone: 720-230-3437