Healthcare Provider Details

I. General information

NPI: 1689594012
Provider Name (Legal Business Name): ADVANTAGE TREATMENT CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 TURNER DR UNIT F
DURANGO CO
81303-7992
US

IV. Provider business mailing address

1230 N GRAND AVE
MONTROSE CO
81401-3146
US

V. Phone/Fax

Practice location:
  • Phone: 970-466-5100
  • Fax: 833-423-7002
Mailing address:
  • Phone: 970-466-5100
  • Fax: 833-423-7002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MERANDA CARPENTER
Title or Position: DIRECTOR OF TREATMENT BILLING
Credential:
Phone: 970-466-5100