Healthcare Provider Details

I. General information

NPI: 1144053794
Provider Name (Legal Business Name): GRIFFITH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 FARRAGUT AVE
COLORADO SPRINGS CO
80909-5625
US

IV. Provider business mailing address

10190 BANNOCK ST STE 120
NORTHGLENN CO
80260-6052
US

V. Phone/Fax

Practice location:
  • Phone: 719-636-2122
  • Fax: 719-636-1116
Mailing address:
  • Phone: 720-230-3437
  • Fax: 303-237-6873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ESTHER TORREZ
Title or Position: CONTROLLER
Credential: BA
Phone: 720-230-3437