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General NPI Number Information
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NPI Number | 1922975762
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Entity Type | Organization
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Legal Business Name | ROOTED BEHAVIORAL HEALTH PARTNERS, LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 5801 W ALAMEDA AVE
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City | LAKEWOOD
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State | CO
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Zip | 80226-3583
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Country | US
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Telephone | 303-425-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 4851 INDEPENDENCE ST
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6715
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Country | US
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Telephone | 303-425-0300
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DAVID GOFF
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Credential |
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Telephone | 303-425-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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