NARCONON CO NPI 1477882504

NPI Information

  • NPI: 1477882504
  • Provider Name: NARCONON CO
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: A LIFE WORTH LIVING
  • CLIA Number: 06D2084905
  • Address: 1225 REDWOOD ST
    FORT COLLINS, CO
    ZIP 80524
  • Phone: (954) 587-7771

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NPI Details

NARCONON CO is a substance abuse rehabilitation facility in Fort Collins, 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. NARCONON CO NPI is 1477882504. The provider is registered as an organization entity type.
The provider Is Doing Business As A Life Worth Living.

The provider's business location address is:

1225 REDWOOD ST
FORT COLLINS, CO
ZIP 80524-052
Phone: (954) 587-7771
Fax: (954) 208-5770

The provider's authorized official is Glen Petcavage .
The authorized official title is Administrator and has the following contact phone number (954) 587-7771.

The CLIA number assigned to this NPI record is 06D2084905 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 9/29/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityCOLORADOYes

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: 3/30/2025

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