DANCO SUPPORTIVE SERVICES COLORADO INC NPI 1558850339

NPI Information

  • NPI: 1558850339
  • Provider Name: DANCO SUPPORTIVE SERVICES COLORADO INC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: MOMENTA
  • CLIA Number: 06D2146238
  • Address: 3302 SOUTH GRAND AVENUE
    GLENWOOD SPRINGS, CO
    ZIP 81601
  • Phone: (970) 930-6355

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NPI Details

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.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1985-01COLORADOYes

What is NPI?

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This page was last updated on: 3/30/2025

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