Healthcare Provider Details

I. General information

NPI: 1760126056
Provider Name (Legal Business Name): GRIFFITH CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2022
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
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: 303-237-6865
  • Fax: 303-237-6873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ESTHER TORREZ
Title or Position: ACCOUNTING MANAGER
Credential: BA
Phone: 303-237-6865