NPI:
1558850339
Provider Name:
DANCO SUPPORTIVE SERVICES COLORADO INC
Doing Business As: MOMENTA
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 06D2146238
Address:
3302 SOUTH GRAND AVENUE
GLENWOOD SPRINGS, CO
ZIP 81601
Phone:
(970) 930-6355
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DANCO SUPPORTIVE SERVICES COLORADO INC is a rehabilitation and substance use disorder clinic center in Glenwood Springs, CO. DANCO SUPPORTIVE SERVICES COLORADO INC NPI is 1558850339. The provider is registered as an organization entity type.
The provider Is Doing Business As Momenta.
The provider's business location address is:
3302 SOUTH GRAND AVENUE
GLENWOOD SPRINGS, CO
ZIP 81601
Phone: (970) 930-6355
Fax: (970) 366-3929
The provider's authorized official is Amanda Leigh Owensby .
The authorized official title is Program Director and has the following contact phone number (970) 930-6355.
The CLIA number assigned to this NPI record is 06D2146238 - other - residential treatment ctr with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/7/2018 and was last updated on 7/18/2018.