Healthcare Provider Details

I. General information

NPI: 1013509959
Provider Name (Legal Business Name): COMPREHENSIVE BEHAVIORAL HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 W ALAMEDA AVE
LAKEWOOD CO
80226-3606
US

IV. Provider business mailing address

2217 CHAMPA ST
DENVER CO
80205-2531
US

V. Phone/Fax

Practice location:
  • Phone: 303-885-4774
  • Fax:
Mailing address:
  • Phone: 720-398-9666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SCOTT ZIEGLER
Title or Position: CBO
Credential:
Phone: 360-601-2918