Kokua Co LLC

NPI #1164998506 in Greeley, Colorado

Provider Information

NPI Number: 1164998506
Entity Type: Organization
Organization Name: Kokua Co LLC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Oct 23, 2018
Last Updated: Oct 23, 2018

Practice Location

Address: 5401 W 9TH ST
City: Greeley
State: Colorado
ZIP Code: 80634-4431
Phone: (877) 302-5022

Authorized Official

Name: BRIANA SEVERINE
Title: CLINICAL DIRECTOR
Phone: (562) 618-2319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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