Healthcare Provider Details

I. General information

NPI: 1629806658
Provider Name (Legal Business Name): MONARCH MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 W 6TH AVE
LAKEWOOD CO
80215-5100
US

IV. Provider business mailing address

12310 W 38TH AVE
WHEAT RIDGE CO
80033-3839
US

V. Phone/Fax

Practice location:
  • Phone: 928-231-4731
  • Fax:
Mailing address:
  • Phone: 928-231-4731
  • 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: CALI PETERSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 928-231-4731