Organization
SOBRIETY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DOLAN LCSW, CACIII (CEO/EXECUTIVE DIRECTOR)
(720) 381-4332
Entity
Organization
Contact information
Practice address
121 W. 1ST AVE., DENVER, CO 80223-1429
(303) 722-5746
Mailing address
121 ACOMA ST, DENVER, CO 80223-1429
(303) 722-5746
(303) 722-7601
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
01
—
1083617344
NPPES
CO
05
—
35975245
—
CO
Enumeration date
02/14/2013
Last updated
11/10/2020
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