Provider Demographics
NPI:1689960510
Name:VIATAS CENTER
Entity Type:Organization
Organization Name:VIATAS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:WERBICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-770-7284
Mailing Address - Street 1:6041 S SYRACUSE WAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4771
Mailing Address - Country:US
Mailing Address - Phone:303-770-7284
Mailing Address - Fax:
Practice Address - Street 1:6041 S SYRACUSE WAY
Practice Address - Street 2:SUITE 307
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4771
Practice Address - Country:US
Practice Address - Phone:303-770-7284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty