Healthcare Provider Details

I. General information

NPI: 1730090911
Provider Name (Legal Business Name): COMMUNITY REACH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18335 E 103RD AVE UNIT 201
COMMERCE CITY CO
80022-3103
US

IV. Provider business mailing address

18335 E 103RD AVE UNIT 201
COMMERCE CITY CO
80022-3103
US

V. Phone/Fax

Practice location:
  • Phone: 303-853-3500
  • Fax:
Mailing address:
  • Phone: 303-853-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RYSHELL SCHRADER
Title or Position: BILLING MANAGER
Credential:
Phone: 303-412-6091