Healthcare Provider Details

I. General information

NPI: 1508999426
Provider Name (Legal Business Name): ARAPHOE DOUGLAS MENTAL HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6507 S SANTA FE DR
LITTLETON CO
80120-2910
US

IV. Provider business mailing address

395 MOUNTAIN CLOUD CIR
LITTLETON CO
80126-2209
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-0797
  • Fax: 303-797-9342
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number112085
License Number StateCO

VIII. Authorized Official

Name: MRS. CATHY M HARRIS
Title or Position: CHARGE NURSE
Credential: RN
Phone: 303-730-0797