Organization
CRESTONE ACF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DOUCET (CEO)
(303) 853-3500
Entity
Organization
Contact information
Practice address
621 W 96TH AVE, THORNTON, CO 80260-5469
(303) 853-3500
(303) 426-9340
Mailing address
1870 W 122ND AVE STE 100, WESTMINSTER, CO 80234-2075
(303) 853-3500
(303) 426-9340
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
2304H0
CO
Other
Enumeration date
10/12/2016
Last updated
10/25/2021
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