1912162751 NPI number — RESTORE HEALTH & COUNSELING

Table of content: (NPI 1912162751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912162751 NPI number — RESTORE HEALTH & COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESTORE HEALTH & COUNSELING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912162751
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4705 PARIS ST
Provider Second Line Business Mailing Address:
# 100
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80239-2860
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-307-8855
Provider Business Mailing Address Fax Number:
303-307-8666

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4705 PARIS ST
Provider Second Line Business Practice Location Address:
# 100
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80239-2860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-307-8855
Provider Business Practice Location Address Fax Number:
303-307-8666
Provider Enumeration Date:
07/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
RADNEY
Authorized Official First Name:
PHYLLIS
Authorized Official Middle Name:
M
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
303-307-8855

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  1630-01 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1630-01 . This is a "ALCOHOL AND DRUG ABUSE DIVISION (ADAD)" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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