Healthcare Provider Details

I. General information

NPI: 1588045462
Provider Name (Legal Business Name): METRO TREATMENT OF COLORADO LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2956 NORTH AVE STE 1
GRAND JUNCTION CO
81504-3919
US

IV. Provider business mailing address

2500 MAITLAND CENTER PKWY STE 250
MAITLAND FL
32751-4174
US

V. Phone/Fax

Practice location:
  • Phone: 407-351-7080
  • Fax: 407-351-6930
Mailing address:
  • Phone: 407-351-7080
  • Fax: 407-351-6930

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 TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number1764-01
License Number StateCO

VIII. Authorized Official

Name: SCOTT CALL
Title or Position: VP, MANAGED CARE
Credential:
Phone: 480-826-3929