Organization
A LIFE WORTH LIVING
Active
Other names
Narconon Colorado - A Life Worth Saving
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN EDWARD PETCAVAGE (EXECUTIVE DIRECTOR)
(303) 888-9592
Entity
Organization
Contact information
Practice address
1225 REDWOOD ST, FORT COLLINS, CO 80524
(303) 888-9592
(866) 867-8553
Mailing address
1225 REDWOOD ST, FORT COLLINS, CO 80524-2052
(303) 888-9592
(866) 867-8553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
1681-00
CO
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000187266
—
CO
Enumeration date
08/13/2010
Last updated
02/25/2026
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