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KOKUA CO LLC NPI 1164998506


NPI Information

NPI: 1164998506
Provider Name: KOKUA CO LLC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
5401 W 9TH ST
GREELEY, CO
ZIP 80634
Phone: (877) 302-5022
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KOKUA CO LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Greeley, CO. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. KOKUA CO LLC NPI is 1164998506. The provider is registered as an organization entity type.

The provider's business location address is:

5401 W 9TH ST
GREELEY, CO
ZIP 80634-431
Phone: (877) 302-5022

The provider's authorized official is Briana Severine .
The authorized official title is Clinical Director and has the following contact phone number (562) 618-2319.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 10/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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