Organization
ADMHN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIENNA GRANT (HR)
(303) 723-4208
Entity
Organization
Contact information
Practice address
5500 S SYCAMORE ST, LITTLETON, CO 80120-8201
(303) 723-4208
(303) 797-9444
Mailing address
5120 GOLDEN VALLEY TRL, CASTLE ROCK, CO 80109-8644
(303) 814-2257
(303) 797-9444
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
122255
CO
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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