Organization
A LIFE WORTH LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN PETCAVAGE (EXECUTIVE DIRECTOR)
(970) 484-2023
Entity
Organization
Contact information
Practice address
1225 REDWOOD ST, FORT COLLINS, CO 80524-2052
(970) 484-2023
(866) 867-8553
Mailing address
1225 REDWOOD ST, FORT COLLINS, CO 80524-2052
(970) 484-2023
(866) 867-8553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/31/2025
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