Organization
REGENTS OF THE UNIVERSITY OF COLORADO
Active
Parent organization
REGENTS OF THE UNIVERSITY OF COLORADO
Other names
UCD ARTS Potomac
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF COLORADO
Authorized official
ANGI WOLD (ARTS DIRECTOR OF OPERATIONS)
(303) 734-3317
Entity
Organization
Contact information
Practice address
750 POTOMAC ST STE 101, AURORA, CO 80011-6743
(303) 761-6703
Mailing address
3738 W PRINCETON CIR, DENVER, CO 80236-3110
(303) 761-6703
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93225521
—
CO
Enumeration date
12/02/2020
Last updated
09/29/2021
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