Organization
COMMUNITY REACH CENTER, INC
Active
Parent organization
COMMUNITY REACH CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY REACH CENTER, INC
Authorized official
RYSHELL SCHRADER (BILLING AND CODING MANAGER)
(303) 412-6091
Entity
Organization
Contact information
Practice address
3031 W 76TH AVE, WESTMINSTER, CO 80030-4909
(303) 853-3500
Mailing address
1870 W 122ND AVE STE 100, WESTMINSTER, CO 80234-2075
(303) 853-3500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000145417
—
CO
05
—
9000154383
—
CO
Enumeration date
09/08/2020
Last updated
09/08/2020
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