Organization
EXCELSIOR YOUTH CENTER
Active
Organization
EXCELSIOR YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN GABRIELSON (DIRECTOR)
(303) 693-1550
Entity
Organization
Contact information
Practice address
15001 E OXFORD AVE, AURORA, CO 80014-4186
(303) 693-1550
(303) 693-8309
Mailing address
15001 E OXFORD AVE, AURORA, CO 80014-4186
(303) 693-1550
(303) 693-8309
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
45243
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53239873
—
CO
Enumeration date
02/28/2011
Last updated
02/28/2011
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