Healthcare Provider Details

I. General information

NPI: 1811444334
Provider Name (Legal Business Name): DENVER REGIONAL COUNCIL OF GOVERNMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 N BROADWAY SUITE 100
DENVER CO
80203-2122
US

IV. Provider business mailing address

1290 BROADWAY SUITE 100
DENVER CO
80203-2122
US

V. Phone/Fax

Practice location:
  • Phone: 303-480-6767
  • Fax:
Mailing address:
  • Phone: 303-480-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNY DOCK
Title or Position: ACCOUNTING SERVICES MANAGER
Credential:
Phone: 303-455-1000