Healthcare Provider Details

I. General information

NPI: 1174452114
Provider Name (Legal Business Name): ALIS BEHAVIORAL HEALTH OF COLORADO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8690 WOLFF CT STE 200
WESTMINSTER CO
80031-3697
US

IV. Provider business mailing address

1325 S COLORADO BLVD STE B705
DENVER CO
80222-3383
US

V. Phone/Fax

Practice location:
  • Phone: 888-528-3860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELI GROSS
Title or Position: CEO
Credential:
Phone: 888-528-3860