Organization
TENERIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT YATES (CONTRACTING MANAGER)
(877) 262-7803
Entity
Organization
Contact information
Practice address
2162 LAWRENCE ST, DENVER, CO 80205-2033
(877) 262-7803
Mailing address
2162 LAWRENCE ST, DENVER, CO 80205-2033
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
05/07/2025
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