# COMMUNITY ALCOHOL/DRUG REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CADREC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730183161
- **Authorized official:** DR. JACQUES AMA OKONJI PH.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (303) 295-2521

## Contact information

- **Practice address:** 3315 GILPIN ST, DENVER, CO 80205-4015
- **Practice address phone:** (303) 295-2521
- **Practice address fax:** (303) 295-2326
- **Mailing address:** 3315 GILPIN ST, DENVER, CO 80205-4015
- **Mailing address phone:** (303) 295-2521
- **Mailing address fax:** (303) 295-2326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | 1142-00 | CO | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 09/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1143 | LICENSED OUT-PATIENT | CO |