COLORADO'S CHILDHOOD CANCER AND DISABILITIES CAMPS INC. NPI 1023592508

NPI Information

  • NPI: 1023592508
  • Provider Name: COLORADO'S CHILDHOOD CANCER AND DISABILITIES CAMPS, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 51934 SOUTH HIGHWAY 285
    GRANT, CO
    ZIP 80448
  • Phone: (719) 963-7528

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NPI Details

COLORADO'S CHILDHOOD CANCER AND DISABILITIES CAMPS, INC. is a substance abuse rehabilitation facility in Grant, 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. COLORADO'S CHILDHOOD CANCER AND DISABILITIES CAMPS, INC. NPI is 1023592508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

51934 SOUTH HIGHWAY 285
GRANT, CO
ZIP 80448-042
Phone: (719) 963-7528

The provider's authorized official is Cheyenne Taylor Garrison .
The authorized official title is Drug And Alcohol Program Manager and has the following contact phone number (719) 493-0937.

The enumeration date for this NPI number is 9/20/2018 and was last updated on 9/20/2018.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
3103TR0400XPsychologistRehabilitationNo
4133N00000XNutritionistNo
5163WP0809XRegistered NursePsychiatric/Mental Health, AdultNo
6164W00000XLicensed Practical NurseNo
7174200000XMealsNo
8177F00000XLodgingNo
9251B00000XCase ManagementNo
10251S00000XCommunity/Behavioral HealthNo
11324500000XSubstance Abuse Rehabilitation FacilityYes

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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