Organization
COMMUNITY ALCOHOL/DRUG REHABILITATION CENTER
Active
Other names
CADREC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUES AMA OKONJI PH.D. (EXECUTIVE DIRECTOR)
(303) 295-2521
Entity
Organization
Contact information
Practice address
3315 GILPIN ST, DENVER, CO 80205-4015
(303) 295-2521
(303) 295-2326
Mailing address
3315 GILPIN ST, DENVER, CO 80205-4015
(303) 295-2521
(303) 295-2326
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
1142-00
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143
LICENSED OUT-PATIENT
CO
Enumeration date
06/13/2005
Last updated
09/16/2008
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