Organization
RITES OF PASSAGE
Active
Organization
RITES OF PASSAGE
Active
Other names
Gteways To Transformation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISHA M ADRIAN LPC (OWNER, HEAD COUNSELOR)
(303) 859-7385
Entity
Organization
Contact information
Practice address
4879 GATEWAY RD., CRAWFORD, CO 81415
(970) 921-4563
(970) 921-5420
Mailing address
4979 4200 RD., CRAWFORD, CO 81415
(970) 921-4563
(970) 921-5420
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
LPC0011272
CO
324500000X
Substance Abuse Rehabilitation Facility
LPC0011272
CO
Other
Enumeration date
03/13/2014
Last updated
08/19/2022
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