CENTERBOARD RECOVERY CENTER


Address: 2105 E Virginia Ave, Suite 3, Denver, CO 80209-2721
Phone: 7203240008

CENTERBOARD RECOVERY CENTER (NPI# 1992078570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992078570
Entity Type Organization
Organization Name CENTERBOARD RECOVERY CENTER
Practice Address 2105 E Virginia Ave
Suite 3
Denver
CO 80209-2721
Mailing Address 1960 S Sherman St
Denver
CO 80210-4014
Practice Telephone 7203240008
Mailing Telephone 7203240008
Enumeration Date 2012-02-13
Last Update Date 2013-09-13
Authorized Official Name MS. KIMBERLY ANNE SUTHERLAND (CLINICAL DIRECTOR)
Authorized Official Telephone 7203240008
Authorized Official Credential M.ED, CAC III
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 1707-01 CO Agencies

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities CENTERBOARD RECOVERY CENTER, LLC 2105 E Virginia Avenue, Ste 3, Denver, CO 80210

Office Location

Street Address 2105 E VIRGINIA AVE
SUITE 3
City DENVER
State CO
Zip Code 80209-2721

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Competitor

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City DENVER
Zip Code 80209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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