Healthcare Provider Details

I. General information

NPI: 1437708138
Provider Name (Legal Business Name): MILE HIGH COUNCIL ON ALCOHOLISM AND DRUG ABUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4335 W 76TH AVE
WESTMINSTER CO
80030-4604
US

IV. Provider business mailing address

PO BOX 919
AURORA CO
80040-0919
US

V. Phone/Fax

Practice location:
  • Phone: 303-426-7848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZANE GUILFOYLE
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential:
Phone: 720-675-7116