Organization
YOUTHTRACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
10184 W BELLEVIEW AVE, SUITE 300, LITTLETON, CO 80127-1700
(303) 904-0998
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
CO
343900000X
Non-emergency Medical Transport (VAN)
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75677342
—
CO
Enumeration date
01/17/2008
Last updated
08/18/2008
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