Healthcare Provider Details

I. General information

NPI: 1962237289
Provider Name (Legal Business Name): COLORADO WEST REGIONAL MENTAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2802 GRAND AVE
GLENWOOD SPRINGS CO
81601-4428
US

IV. Provider business mailing address

PO BOX 3807
GRAND JUNCTION CO
81502-3807
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-2583
  • Fax:
Mailing address:
  • Phone: 970-241-6023
  • Fax:

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: NATALIE LYNN ODUEKE
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 970-639-3852