Organization
THE STOUT STREET FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BRYDON LCSW (SUPERVISOR)
(720) 401-2340
Entity
Organization
Contact information
Practice address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 468-6148
(303) 468-6184
Mailing address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 468-6148
(303) 468-6184
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1399-10
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1339-10
INTEISIVE RESIDENTAL TREATMENT
CO
Enumeration date
12/13/2010
Last updated
10/16/2025
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