Whalio Doctors

NPI 1013040385

The Mountain Star Center

Organisation Mental Illness Community Based Residential Treatment Facility Denver, CO

Practice location

Address
3520 W Oxford Ave, Denver, CO 80236-3108
Phone
(303) 866-7080
Fax
(303) 866-7088
Mailing address
1600 W 24th St, Pueblo, CO 81003-1411

Authorised official

Name
Kat Foo
Title
Hipaa Officer
Phone
(303) 866-5871

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 13363 (CO)

Registry record

NPI
1013040385
Entity type
Organization
NPI issued
14 Mar 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.