MEDICARE: SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF COLORADO, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1306478961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH OF COLORADO, INC.

Provider Business Mailing Address
First Line	:	10100 ELIDA RD
Second Line	:
City	:	DELPHOS
State	:	OH
Zip	:	45833-9058
Country	:	US
Telephone Number	:	970-494-5891
Fax Number	:

Provider Business Practice Location Address
First Line	:	12500 E ILIFF AVE STE 110
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1268
Country	:	US
Telephone Number	:	720-506-9645
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE EXECUTIVE DIRECTOR
Name	:	NICOLE COCHRAN
Credential	:	LCSW
Telephone Number	:	970-616-2369

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	04/30/2025

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