Organization Name: | THE MOUNTAIN STAR CENTER |
NPI Number: | 1013040385 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAT FOO (HIPAA OFFICER) |
Mailing Address: | 3520 W Oxford Ave Denver |
State: | CO US |
Postal Code: | 802363108 |
Phone Number: | 3038667080 |
Fax Number: | 3038667088 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 13363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |