Organization
ASPENRIDGE NORTH
Active
Parent organization
ASPENRIDGE RECOVERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPENRIDGE RECOVERY
Authorized official
ALEX LOUCKS (CFO)
(970) 875-6116
Entity
Organization
Contact information
Practice address
706 S COLLEGE AVE STE 201&202, FORT COLLINS, CO 80524-9817
(928) 277-7209
Mailing address
706 S COLLEGE AVE STE 201&202, FORT COLLINS, CO 80524-9817
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1774-00
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1774-01
LICENSE
CO
Enumeration date
11/09/2016
Last updated
03/02/2021
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