Healthcare Provider Details

I. General information

NPI: 1316870017
Provider Name (Legal Business Name): AVENUES RECOVERY CENTER AT FORT COLLINS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 ZIEGLER RD
FORT COLLINS CO
80528-9007
US

IV. Provider business mailing address

1600 AVENUE OF THE STATES STE 700
LAKEWOOD NJ
08701-4909
US

V. Phone/Fax

Practice location:
  • Phone: 732-967-2635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: HUDI ALTER
Title or Position: CEO
Credential:
Phone: 732-967-2635