Organization
ACHIEVE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDSON COOK (OWNER)
(845) 321-2049
Entity
Organization
Contact information
Practice address
1420 VANCE ST, LAKEWOOD, CO 80214-4285
(845) 321-2049
Mailing address
2001 S GARNETT RD, SUITE G, TULSA, OK 74128-1836
(845) 321-2049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
CO
Enumeration date
12/21/2016
Last updated
04/22/2017
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