Provider Demographics
NPI:1295365336
Name:ADVANTAGE TREATMENT CENTERS INC
Entity Type:Organization
Organization Name:ADVANTAGE TREATMENT CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-964-2783
Mailing Address - Street 1:1230 N GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3146
Mailing Address - Country:US
Mailing Address - Phone:970-964-2783
Mailing Address - Fax:970-964-2778
Practice Address - Street 1:800 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:CO
Practice Address - Zip Code:81052-2540
Practice Address - Country:US
Practice Address - Phone:970-964-2783
Practice Address - Fax:970-964-2778
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANTAGE TREATMENT CENTERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-16
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder