NORTHSTAR TRANSITIONS NPI 1114316965

NPI Information

NORTHSTAR TRANSITIONS is a substance abuse rehabilitation facility in Boulder, CO. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NORTHSTAR TRANSITIONS NPI is 1114316965. The provider is registered as an organization entity type.

The provider's business location address is:

75 MANHATTAN DR.
SUITES 110 AND 208 NORTHSTAR TRANSITIONS
BOULDER, CO
ZIP 80303
Phone: (720) 340-7140
Fax: (888) 373-4385

The provider's authorized official is Dale Irene Maugans .
The authorized official title is Dir. Of Medical Billing and has the following contact phone number (970) 232-5524.

The CLIA number assigned to this NPI record is 06D2096523 - other - outpatient substance abus with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2015 and was last updated on 12/11/2017.

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:

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