Organization
STOUT STREET FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BRYDON LCSW, LAC (SUPERVISOR)
(720) 401-2340
Entity
Organization
Contact information
Practice address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 321-2533
(303) 468-6199
Mailing address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(720) 401-2340
(303) 468-6199
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1399-09
CO
Other
Enumeration date
04/30/2007
Last updated
10/16/2025
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