Provider Demographics
NPI:1164936274
Name:COLORADO TREATMENT SERVICES, LLC
Entity Type:Organization
Organization Name:COLORADO TREATMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRASER
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CAC III
Authorized Official - Phone:970-978-4386
Mailing Address - Street 1:2350 S TOWNSEND AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5439
Mailing Address - Country:US
Mailing Address - Phone:970-249-5150
Mailing Address - Fax:970-249-8047
Practice Address - Street 1:2350 S TOWNSEND AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5439
Practice Address - Country:US
Practice Address - Phone:970-249-5150
Practice Address - Fax:970-249-8047
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO TREATMENT SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1648-03261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone