Organization
BI INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MICHAEL PAULIS MA (STATE MANAGER)
(303) 919-2266
Entity
Organization
Contact information
Practice address
506 MALLEY DR, NORTHGLENN, CO 80233-1928
(970) 396-4544
(303) 457-3100
Mailing address
6400 LOOKOUT RD, BOULDER, CO 80301-3377
(303) 218-1000
(866) 491-1187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1280-00
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1280-00
ALCOHOL AND DRUG ABUSE DIVISION LICENSED (ADAD)
CO
Enumeration date
11/06/2008
Last updated
11/06/2008
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