Provider Demographics
NPI:1073118857
Name:SBH COLORADO, LLC
Entity Type:Organization
Organization Name:SBH COLORADO, LLC
Other - Org Name:PEAK VIEW BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF LEGAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-716-4924
Mailing Address - Street 1:7353 SISTERS GRV
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-2615
Mailing Address - Country:US
Mailing Address - Phone:719-355-4114
Mailing Address - Fax:719-574-9004
Practice Address - Street 1:7353 SISTERS GRV
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2615
Practice Address - Country:US
Practice Address - Phone:719-355-4114
Practice Address - Fax:719-574-9004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SBH COLORADO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-01
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO63058561Medicaid