Basic Information
| Provider Information | |||||||||
| NPI: | 1164660148 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AURORA COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER, INC. | ||||||||
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| OtherOrganizationName: | AURORA MENTAL HEALTH CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11059 E BETHANY DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800142622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036172300 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1290 CHAMBERS RD | ||||||||
| Address2: | 1ST FLOOR | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800117117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036172715 | ||||||||
| FaxNumber: | 3036172734 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2009 | ||||||||
| LastUpdateDate: | 01/28/2009 | ||||||||
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| AuthorizedOfficialLastName: | DAWSON | ||||||||
| AuthorizedOfficialFirstName: | DAN | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | ACTING, CFO | ||||||||
| AuthorizedOfficialTelephone: | 3036172300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 324500000X | 1608-01 | CO | Y | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
No ID Information.