Organization
MILE HIGH COUNCIL ON ALCOHOLISM AND DRUG ABUSE
Active
Other names
Mile High Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HENDERSON (CFO)
(720) 975-0155
Entity
Organization
Contact information
Practice address
1585 KINGSTON ST, AURORA, CO 80010-2504
(720) 488-1164
Mailing address
PO BOX 919, AURORA, CO 80040-0919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63634368
—
CO
Enumeration date
10/07/2020
Last updated
10/07/2020
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