MEDICARE: MONARCH MENTAL HEALTH

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

General Provider Information

NPI Number	:	1629806658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH MENTAL HEALTH

Provider Business Mailing Address
First Line	:	12310 W 38TH AVE
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-3839
Country	:	US
Telephone Number	:	928-231-4731
Fax Number	:

Provider Business Practice Location Address
First Line	:	8420 W 6TH AVE
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-5100
Country	:	US
Telephone Number	:	928-231-4731
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CALI PETERSON
Credential	:
Telephone Number	:	928-231-4731

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	07/22/2024

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Directions to “MONARCH MENTAL HEALTH ” Practice Location

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