| Addiction Treatment Outpatient Servceis | |
|
11027 S Pikes Peak Dr Ste 204 Parker CO 80138-7362 | |
| (303) 329-3105 | |
| (303) 600-6645 |
| Full Name | Addiction Treatment Outpatient Servceis |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11027 S Pikes Peak Dr Ste 204, Parker, Colorado |
| Authorized Official Name and Position | Karen Moreau (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3033293105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Treatment Outpatient Servceis 2755 S Locust St Ste 132 Denver CO 80222-7131 Ph: (303) 329-3105 | Addiction Treatment Outpatient Servceis 11027 S Pikes Peak Dr Ste 204 Parker CO 80138-7362 Ph: (303) 329-3105 |
| NPI Number | 1205191798 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205191798 | NPI | - | NPPES |
| 50206231 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACC-3237 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-308 (Colorado) | Primary |
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