Provider Demographics
NPI:1184784480
Name:ALCOHOL AND DRUG ABUSE DIVISION
Entity type:Organization
Organization Name:ALCOHOL AND DRUG ABUSE DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BEHAVIORAL HEALTH SERV
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-866-7486
Mailing Address - Street 1:4055 S LOWELL BLVD BLDG KA
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-3120
Mailing Address - Country:US
Mailing Address - Phone:303-866-7480
Mailing Address - Fax:
Practice Address - Street 1:4055 S LOWELL BLVD BLDG KA
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-3120
Practice Address - Country:US
Practice Address - Phone:303-866-7480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-10
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health