Whalio Doctors

NPI 1093857906

Boulder County Public Health

Organisation Substance Abuse Rehabilitation Facility Boulder, CO

Practice location

Address
3470 Broadway St, Boulder, CO 80304-1824
Phone
(303) 441-1290
Fax
(303) 441-1452
Mailing address
3450 Broadway St, Boulder, CO 80304-1824

Authorised official

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

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1003-00 (CO)
Public Health or Welfare Agency
Agencies Taxonomy 251K00000X Licence 1001 (CO)

Registry record

NPI
1093857906
Entity type
Organization
NPI issued
14 Feb 2007
Record last updated
7 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.