Healthcare Provider Details

I. General information

NPI: 1760392856
Provider Name (Legal Business Name): ATLANTIS COMMUNITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S CHEROKEE ST STE 100
DENVER CO
80223-1598
US

IV. Provider business mailing address

201 S CHEROKEE ST STE 100
DENVER CO
80223-1598
US

V. Phone/Fax

Practice location:
  • Phone: 303-733-9324
  • Fax:
Mailing address:
  • Phone: 303-733-9324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIAN GREWE JR.
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 303-733-9324