Organization
COMMUNITY REACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK DOUCET (CEO)
(303) 853-3455
Entity
Organization
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3400
(303) 853-3656
Mailing address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3400
(303) 853-3656
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37966
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25582879
—
CO
Enumeration date
02/24/2012
Last updated
02/24/2012
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