Individual Provider - Denver, CO

Individual Provider

Emotionally Disturbed Childrens' Residential Treatment Facility in Denver, Colorado

NPI 1821479122

Individual Provider is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Boulder, CO. Individual Provider practices in Denver, CO. The NPI Number for Individual Provider is 1821479122 and holds a License No. NLC.0105326 (Colorado).

The current practice location address for Individual Provider is 4159 Lowell Blvd, Denver, CO and can be reached out via phone at 303-458-7220.

Location: 4159 Lowell Blvd, Denver, CO, 80301-1542

NPI Number

1821479122

Provider Name

Individual Provider

Credential

Provider Entity Type

Organization

Address

4159 Lowell Blvd, Denver, CO, 80301-1542

Phone Number

303-458-7220

Fax Number

Provider Enumeration Date

06/11/2015

Last Update Date

03/09/2024

Address

4159 Lowell Blvd

City

Denver

State

Colorado

Zip

80211-1658

Phone Number

303-458-7220

Fax Number

Address

4159 Lowell Blvd

City

Denver

State

Colorado

Zip

80211-1658

Phone Number

303-458-7220

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Speciality

Taxonomy

322D00000X

License No.

NLC.0105326 (Colorado)

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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