Healthcare Provider Details

I. General information

NPI: 1821922477
Provider Name (Legal Business Name): RIVERS BEHAVIORAL COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 S CAREFREE CIR
COLORADO SPRINGS CO
80917-3010
US

IV. Provider business mailing address

1580 N LOGAN ST STE 600-111
DENVER CO
80203-1939
US

V. Phone/Fax

Practice location:
  • Phone: 949-201-9245
  • Fax:
Mailing address:
  • Phone: 949-201-9245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAVANNAH BAKER
Title or Position: CREDENTIALER
Credential:
Phone: 949-201-9245