MEDICARE: METRO TREATMENT OF COLORADO LP

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center
3	261QM2800X	Methadone Clinic	1764-01	CO

General Provider Information

NPI Number	:	1588045462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO TREATMENT OF COLORADO LP

Provider Business Mailing Address
First Line	:	2500 MAITLAND CENTER PKWY STE 250
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-4174
Country	:	US
Telephone Number	:	407-351-7080
Fax Number	:	407-351-6930

Provider Business Practice Location Address
First Line	:	2956 NORTH AVE STE 1
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-3919
Country	:	US
Telephone Number	:	407-351-7080
Fax Number	:	407-351-6930

Authorized Official
Title or Position	:	VP, MANAGED CARE
Name	:	SCOTT CALL
Credential	:
Telephone Number	:	480-826-3929

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	02/19/2026

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