MEDICARE: MILE HIGH COUNCIL ON ALCOHOLISM AND DRUG ABUSE

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851417679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILE HIGH COUNCIL ON ALCOHOLISM AND DRUG ABUSE

Provider Business Mailing Address
First Line	:	PO BOX 919
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80040-0919
Country	:	US
Telephone Number	:	303-825-8113
Fax Number	:	303-825-8166

Provider Business Practice Location Address
First Line	:	4242 DELAWARE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216
Country	:	US
Telephone Number	:	303-825-8113
Fax Number	:	303-825-8166

Authorized Official
Title or Position	:	DIRECTOR OF PUBLIC HEALTH
Name	:	ZANE GUILFOYLE
Credential	:
Telephone Number	:	720-675-7116

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	02/04/2026

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