Healthcare Provider Details

I. General information

NPI: 1710452933
Provider Name (Legal Business Name): VALLEY HOPE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 12/02/2020
Certification Date: 12/02/2020
Deactivation Date: 11/19/2020
Reactivation Date: 12/02/2020

III. Provider practice location address

445 W BERRY AVE
LITTLETON CO
80120-1601
US

IV. Provider business mailing address

445 W BERRY AVE
LITTLETON CO
80120-1601
US

V. Phone/Fax

Practice location:
  • Phone: 303-841-7857
  • Fax:
Mailing address:
  • Phone: 303-841-7857
  • 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: KATHY ERBERT
Title or Position: DIRECTOR OF CONTRACT ADMIN
Credential:
Phone: 785-877-5111