Organization
ASPENRIDGE COLORADO SPRINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX LOUCKS (CFO)
(720) 330-3632
Entity
Organization
Contact information
Practice address
2860 S CIRCLE DR STE G30A, COLORADO SPRINGS, CO 80906-4113
(720) 583-4533
Mailing address
10155 W KENTUCKY DR, LAKEWOOD, CO 80226-7521
(720) 583-4533
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1774-03
LICENSE
CO
Enumeration date
07/24/2020
Last updated
01/13/2021
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