Healthcare Provider Details

I. General information

NPI: 1730957036
Provider Name (Legal Business Name): REGENTS OF THE UNIVERSITY OF COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2023
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3660 W PRINCETON CIR
DENVER CO
80236-3109
US

IV. Provider business mailing address

3738 W PRINCETON CIR
DENVER CO
80236-3110
US

V. Phone/Fax

Practice location:
  • Phone: 720-283-3606
  • Fax: 303-734-5087
Mailing address:
  • Phone: 720-283-3606
  • Fax: 303-734-5087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANGI WOLD
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 303-734-3317