NPI 1104124148

Excelsior Youth Center

Organisation Mental Illness Community Based Residential Treatment Facility Aurora, CO

Practice location

Address: 15001 E Oxford Ave, Aurora, CO 80014-4186
Phone: (303) 693-1550
Fax: (303) 693-8309

Authorised official

Name: Joan Gabrielson
Title: Director
Phone: (303) 693-1550

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 45243 (CO)

Other Community Based Residential Treatment Facility, Mental Illness providers in Colorado →

Registry record

NPI: 1104124148
Entity type: Organization
NPI issued: 28 Feb 2011
Record last updated: 28 Feb 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.