NPI 1063702421

Boulder County Public Health

Organisation Substance Abuse Rehabilitation Facility Longmont, CO

Practice location

Address: 529 Coffman St STE 200, Longmont, CO 80501-5450
Phone: (303) 441-1290
Fax: (303) 441-1286
Mailing address: 3450 Broadway St, Boulder, CO 80304-1824

Authorised official

Name: Stehanie Martz
Title: Director of Administrative Services
Phone: (303) 441-1142

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1003-03 (CO)

Other Substance Abuse Rehabilitation Facility providers in Colorado →

Public Health or Welfare Agency

Agencies Taxonomy 251K00000X Licence 1001 (CO)

Other Public Health or Welfare providers in Colorado →

Registry record

NPI: 1063702421
Entity type: Organization
NPI issued: 19 Apr 2011
Record last updated: 19 Apr 2011

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.