Provider Demographics
NPI:1467876169
Name:W, L, & J, L, INC.
Entity Type:Organization
Organization Name:W, L, & J, L, INC.
Other - Org Name:THE RALEIGH HOUSE OF HOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:W
Authorized Official - Last Name:LAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-840-8807
Mailing Address - Street 1:4401 S QUEBEC ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2684
Mailing Address - Country:US
Mailing Address - Phone:720-484-4996
Mailing Address - Fax:303-794-6494
Practice Address - Street 1:4401 S QUEBEC ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2684
Practice Address - Country:US
Practice Address - Phone:720-484-4996
Practice Address - Fax:303-794-6494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-16
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility