Provider Demographics
NPI:1235216532
Name:REGENTS OF THE UNIVERSITY OF COLORADO
Entity Type:Organization
Organization Name:REGENTS OF THE UNIVERSITY OF COLORADO
Other - Org Name:ADDICTION RESEARCH AND TREATMENT SERVICES (ARTS)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ARTS EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXION
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-761-6703
Mailing Address - Street 1:3738 W PRINCETON CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-3110
Mailing Address - Country:US
Mailing Address - Phone:303-761-6703
Mailing Address - Fax:303-762-2181
Practice Address - Street 1:3738 W PRINCETON CIR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-3110
Practice Address - Country:US
Practice Address - Phone:303-761-6703
Practice Address - Fax:303-762-2181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1094251S00000X, 261QM2800X, 261QR0405X, 3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251S00000XAgenciesCommunity/Behavioral Health
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY133773400Medicaid
CO30056527Medicaid
CO74652524Medicaid
CO92403727Medicaid
CO73434523Medicaid
CO29403774Medicaid
CO93225521Medicaid