Provider Demographics
NPI:1003279282
Name:LOOKOUT MANAGMENT LLC
Entity Type:Organization
Organization Name:LOOKOUT MANAGMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOREE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWBERY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CAC III, MAC
Authorized Official - Phone:303-443-7695
Mailing Address - Street 1:6901 LOOKOUT RD
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3529
Mailing Address - Country:US
Mailing Address - Phone:303-443-7695
Mailing Address - Fax:
Practice Address - Street 1:6901 LOOKOUT RD
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3529
Practice Address - Country:US
Practice Address - Phone:303-443-7695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health