Provider Demographics
NPI:1184210585
Name:BEHAVIORAL TREATMENT SERVICES
Entity Type:Organization
Organization Name:BEHAVIORAL TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HETSCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-834-0370
Mailing Address - Street 1:12600 W COLFAX AVE STE B410
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-3750
Mailing Address - Country:US
Mailing Address - Phone:303-834-0370
Mailing Address - Fax:
Practice Address - Street 1:902 N CIRCLE DR STE 210
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5002
Practice Address - Country:US
Practice Address - Phone:303-834-0370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder