| Organization Name: | SAMARITAN CENTER OF THE ROCKIES |
| NPI Number: | 1053454611 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE PAPA KEITH (EXECUTIVE DIRECTOR) |
| Mailing Address: | 90 Lariat Loop Edwards |
| State: | CO US |
| Postal Code: | 81632 |
| Phone Number: | 9709268558 |
| Fax Number: | 9709266845 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2411 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |