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General NPI Number Information
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NPI Number | 1316870017
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Entity Type | Organization
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Legal Business Name | AVENUES RECOVERY CENTER AT FORT COLLINS
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 4880 ZIEGLER RD
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City | FORT COLLINS
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State | CO
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Zip | 80528-9007
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Country | US
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Telephone | 732-967-2635
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 AVENUE OF THE STATES STE 700
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HUDI ALTER
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Credential |
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Telephone | 732-967-2635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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