Organization
COLORADO COALITION FOR THE HOMELESS
Active
Organization
COLORADO COALITION FOR THE HOMELESS
Active
Other names
Stout Street Recuperative Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
PETE J STOLLER (CFO)
(303) 312-9606
Entity
Organization
Contact information
Practice address
2175 CALIFORNIA ST, DENVER, CO 80205-2821
(303) 293-2220
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2220
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/05/2022
Last updated
06/07/2022
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