Healthcare Provider Details

I. General information

NPI: 1144132705
Provider Name (Legal Business Name): DIVISION OF OUTPATIENT SERVICES, CDHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W OXFORD AVE UNIT H
DENVER CO
80236-3106
US

IV. Provider business mailing address

4121 S JULIAN WAY
DENVER CO
80236-3101
US

V. Phone/Fax

Practice location:
  • Phone: 720-483-6724
  • Fax:
Mailing address:
  • Phone: 720-483-6724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: OWEN LOVE
Title or Position: DIVISION DIRECTOR
Credential:
Phone: 720-483-6724