Whalio Doctors

NPI 1104248947

Stout Street Foundation

Organisation Substance Abuse Rehabilitation Facility Commerce City, CO

Practice location

Address
7201 E 49th Ave, Commerce City, CO 80022-4714
Phone
(303) 321-2533
Fax
(303) 468-6184

Authorised official

Name
Katie Brydon
Title
Supervisor
Phone
(720) 401-2340

Registered specialties (5)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 139909 (CO)
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Multi-Specialty Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM1300X
Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0400X

Registry record

NPI
1104248947
Entity type
Organization
NPI issued
14 Jan 2014
Record last updated
16 Oct 2025

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.