Healthcare Provider Details

I. General information

NPI: 1760371777
Provider Name (Legal Business Name): AVENUES RECOVERY CENTER AT FORT COLLINS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
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: 732-967-2635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

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