Provider Demographics
NPI:1003341942
Name:BIJOU TREATMENT AND TRAINING INSTITUTE
Entity Type:Organization
Organization Name:BIJOU TREATMENT AND TRAINING INSTITUTE
Other - Org Name:BTTI
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:719-492-4525
Mailing Address - Street 1:3010 WILLAMETTE PL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5115
Mailing Address - Country:US
Mailing Address - Phone:719-442-0144
Mailing Address - Fax:
Practice Address - Street 1:3010 WILLAMETTE PL
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5115
Practice Address - Country:US
Practice Address - Phone:719-442-0144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2821101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty