Organization
BEHAVIROAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY EGAN B.S., CACIII (SUBSTANCE ABUSE COUNSELOR)
(303) 629-5293
Entity
Organization
Contact information
Practice address
5250 LEETSDALE DR, DENVER, CO 80246-1438
(720) 629-5293
Mailing address
5250 LEETSDALE DR, DENVER, CO 80246-1438
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
ACC.0020893
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828555
—
CO
Enumeration date
03/16/2018
Last updated
06/16/2018
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