institution
Stout Street Foundation
Substance Abuse Rehabilitation Facility in Commerce City, Colorado
NPI 1104248947

Stout Street Foundation is a Substance Abuse Rehabilitation Facility based in Commerce City, CO. Stout Street Foundation practices in Commerce City, CO. The NPI Number for Stout Street Foundation is 1104248947 and holds a License No. 139909 (Colorado).

The current practice location address for Stout Street Foundation is 7201 E 49Th Ave, Commerce City, CO and can be reached out via phone at 303-321-2533 and via fax at 303-468-6184.

Location: 7201 E 49Th Ave, Commerce City, CO, 80022-4714
institution
Provider Profile Details
NPI Number
1104248947
Provider Name
Stout Street Foundation
Credential
Provider Entity Type
Organization
Address
7201 E 49Th Ave, Commerce City, CO, 80022-4714
Phone Number
303-321-2533
Fax Number
303-468-6184
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17085071 05 CO
institution
Provider Business Practice Location Address Details
Address
7201 E 49Th Ave
City
State
Zip
80022-4714
Phone Number
303-321-2533
Fax Number
303-468-6184
person
Provider Business Mailing Address Details
Address
7201 E 49Th Ave
City
State
Zip
80022-4714
Phone Number
303-321-2533
Fax Number
303-468-6184
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
139909 (Colorado)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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