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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