Organization
SOBRIETY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DOLAN LCSW, CAC III (EXECUTIVE DIRECTOR)
(720) 381-4332
Entity
Organization
Contact information
Practice address
121 ACOMA ST, DENVER, CO 80223-1429
(720) 381-4332
Mailing address
121 ACOMA ST, DENVER, CO 80223-1429
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
107200
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35975324
—
CO
Enumeration date
02/15/2013
Last updated
11/05/2020
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