Organization
ISLAND GROVE REGIONAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL P ALEXANDER MSW (EXECUTIVE DIRECTOR)
(970) 356-6664
Entity
Organization
Contact information
Practice address
1250 N WILSON AVENUE, LOVELAND, CO 80537
(970) 669-1700
(970) 663-5617
Mailing address
1250 N WILSON AVENUE, LOVELAND, CO 80537
(970) 669-1700
(970) 663-5617
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
105108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33684766
—
CO
Enumeration date
02/01/2008
Last updated
02/01/2008
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