Organization
STOUT STREET FOUNDATION
Active
Other names
Serenity
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BRYDON LCSW, LAC (SUPERVISOR)
(720) 401-2340
Entity
Organization
Contact information
Practice address
7201 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 321-2533
(303) 468-6184
Mailing address
7201 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 321-2533
(303) 468-6199
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
139909
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000187465
—
CO
Enumeration date
01/14/2014
Last updated
10/16/2025
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