Whalio Doctors

NPI 1164998506

Kokua Co LLC

Organisation Children's Substance Abuse Rehabilitation Facility Greeley, CO

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
Residential Treatment Facilities Taxonomy 3245S0500X
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X

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.