Organization
ISLAND GROVE REGIONAL TRT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL P ALEXANDER LCSW (EXECUTIVE DIRECTOR)
(970) 313-1186
Entity
Organization
Contact information
Practice address
1140 M STREET, GREELEY, CO 80631
(970) 356-6664
(970) 356-1349
Mailing address
1140 M STREET, GREELEY, CO 80631
(970) 356-6664
(970) 356-1349
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CO
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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