Healthcare Provider Details

I. General information

NPI: 1427200203
Provider Name (Legal Business Name): DENVER CARES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2008
Last Update Date: 10/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 CHEROKEE ST
DENVER CO
80204-3632
US

IV. Provider business mailing address

1155 CHEROKEE ST
DENVER CO
80204-3632
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-3500
  • Fax: 303-436-3563
Mailing address:
  • Phone: 303-436-3500
  • Fax: 303-436-3563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number#5269
License Number StateCO

VIII. Authorized Official

Name: MS. ORA WATSON
Title or Position: COUNSELOR SUPERVISOR
Credential: CAC 111
Phone: 303-436-3500