Healthcare Provider Details

I. General information

NPI: 1467469312
Provider Name (Legal Business Name): DENVER CHILDREN'S HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 ALBION ST
DENVER CO
80220-1028
US

IV. Provider business mailing address

1501 ALBION ST
DENVER CO
80220-1028
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-4890
  • Fax: 303-320-8619
Mailing address:
  • Phone: 303-399-4890
  • Fax: 303-320-8619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number49551
License Number StateCO

VIII. Authorized Official

Name: DR. REBECCA HEA
Title or Position: EXECUTIVE DIRECTOR
Credential: PSY D
Phone: 303-399-4890