Doctor Name: | COREY BROWN |
NPI Number: | 1689004343 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2600 S Grant St Denver, CO - 802105708 |
Business Phone Number: | 3037339348 |
Business Fax Number: | |
Mailing Address: | 1896 E 167th Dr, THORNTON |
State: | CO |
Postal Code: | 806027683 |
Phone Number: | 3038700995 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2013 |
NPI Last Update Date: | 11/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |