Community Alcohol/drug Rehabilitation Center

NPI #1730183161 in Denver, Colorado

Provider Information

NPI Number
1730183161
Entity Type
Organization
Organization Name
Community Alcohol/drug Rehabilitation Center
Primary Specialty
Physiological Laboratory
Enumeration Date
Jun 13, 2005
Last Updated
Sep 16, 2008

Practice Location

Address
3315 GILPIN ST
City
Denver
ZIP Code
80205-4015
Phone
(303) 295-2521

Authorized Official

Name
DR. JACQUES AMA OKONJI, PH.D.
Title
EXECUTIVE DIRECTOR
Phone
(303) 295-2521

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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