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Organization

STOUT STREET FOUNDATION

Active
Other names
Serenity Program (IRT)
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE BRYDON LCSW, LAC (SUPERVISOR)
(720) 401-2340
Entity
Organization

Contact information

Practice address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 321-2533
(303) 468-6199
Mailing address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 321-2533
(303) 468-6199

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
139909
CO

Other

Enumeration date
11/01/2006
Last updated
10/16/2025
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