NPI 1164998506
Kokua Co LLC
Practice location
- Address
- 5401 W 9th St, Greeley, CO 80634-4431
- Phone
- (877) 302-5022
Authorised official
- Name
- Briana Severine
- Title
- Clinical Director
- Phone
- (562) 618-2319
Registered specialties (2)
Children's Substance Abuse Rehabilitation Facility
Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1164998506
- Entity type
- Organization
- NPI issued
- 23 Oct 2018
- Record last updated
- 23 Oct 2018
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.