MEDICARE: COMMUNITY REACH CENTER, INC /MESA ACF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320800000X	Mental Illness Community Based Residential Treatment Facility	23R129	CO

General Provider Information

NPI Number	:	1043761083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY REACH CENTER, INC /MESA ACF

Provider Business Mailing Address
First Line	:	1870 W 122ND AVE STE 100
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-2075
Country	:	US
Telephone Number	:	303-853-3500
Fax Number	:	303-426-9340

Provider Business Practice Location Address
First Line	:	5831 E 74TH AVE
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-1325
Country	:	US
Telephone Number	:	303-853-3500
Fax Number	:	303-426-9340

Authorized Official
Title or Position	:	CEO
Name	:	MR. RICHARD DOUCET
Credential	:
Telephone Number	:	303-853-3500

Provider Enumeration Date	:	10/14/2016
Last Update Date	:	10/25/2021

Similar Medicare Providers

1942475801 — MRS. ELIZABETH JITSUKO SCHUBERT
Practice Location Address:

5831 E 74TH AVE
COMMERCE CITY, CO
80022-1325

Practice Phone: 303-853-3599
Practice Fax:

1669648366 — CYNTHIA DOMINIC MIRO
Practice Location Address:

5831 E 74TH AVE
COMMERCE CITY, CO
80022-1325

Practice Phone: 720-889-0461
Practice Fax:

1437382488 — MISS ANGELA EVA-MARIE WARD B.A.
Practice Location Address:

5831 E 74TH AVE
COMMERCE CITY, CO
80022-1325

Practice Phone: 720-889-0461
Practice Fax:

1225502461 — TY QUINT PA-C
Practice Location Address:

1325 COMMERCE DR STE 300
PEACHTREE CITY, GA
30269-3582

Practice Phone: 678-542-0275
Practice Fax:

1841317138 — DR. RAY BURNETT BENNETT M.D.
Practice Location Address:

1325 COMMERCE DR , SUITE 200
PEACHTREE CITY, GA
30269-3582

Practice Phone: 770-692-7575
Practice Fax: 770-692-7570

1326387820 — WINGARD PRIMARY CARE, LLC
Practice Location Address:

1325 COMMERCE DR STE 200
PEACHTREE CITY, GA
30269-3582

Practice Phone: 770-692-7575
Practice Fax: 770-692-7570

Directions to “COMMUNITY REACH CENTER, INC /MESA ACF ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.