NPI 1558535146
Admhn
Practice location
- Address
- 5500 S Sycamore St, Littleton, CO 80120-8201
- Phone
- (303) 723-4208
- Fax
- (303) 797-9444
- Mailing address
- 5120 Golden Valley Trl, Castle Rock, CO 80109-8644
Authorised official
- Name
- Vienna Grant
- Title
- Hr
- Phone
- (303) 723-4208
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1558535146
- Entity type
- Organization
- NPI issued
- 15 Apr 2008
- Record last updated
- 15 Apr 2008
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.