Whalio Doctors

NPI 1114316965

Northstar Transitions

Organisation Substance Abuse Rehabilitation Facility Boulder, CO

Practice location

Address
75 Manhattan Dr. Suites 110 and 208 Northstar Transitions, Boulder, CO 80303
Phone
(720) 340-7140
Fax
(888) 373-4385
Mailing address
2595 Canyon Blvd. Suite 460 Northstar Transitions, Boulder, CO 80302

Authorised official

Name
Dale Irene Maugans
Title
Dir. of Medical Billing
Phone
(970) 232-5524

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 1790-00 (CO)

Registry record

NPI
1114316965
Entity type
Organization
NPI issued
16 Jan 2015
Record last updated
11 Dec 2017

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.