Healthcare Provider Details
I. General information
NPI: 1528814654
Provider Name (Legal Business Name): ARAPAHOE MENTAL HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
116 INVERNESS DR E STE 105
ENGLEWOOD CO
80112-5125
US
IV. Provider business mailing address
116 INVERNESS DR E STE 105
ENGLEWOOD CO
80112-5125
US
V. Phone/Fax
- Phone: 303-730-8858
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHARON
FISHER
Title or Position: VP OF REVENUE CYCLE
Credential:
Phone: 720-707-6360