Provider Demographics
NPI:1801040696
Name:BI INCORPORATED
Entity Type:Organization
Organization Name:BI INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PAULIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:303-919-2266
Mailing Address - Street 1:6400 LOOKOUT RD
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3377
Mailing Address - Country:US
Mailing Address - Phone:303-218-1000
Mailing Address - Fax:866-491-1187
Practice Address - Street 1:506 MALLEY DR
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1928
Practice Address - Country:US
Practice Address - Phone:970-396-4544
Practice Address - Fax:303-457-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1280-00101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1280-00OtherALCOHOL AND DRUG ABUSE DIVISION LICENSED (ADAD)