Provider Demographics
NPI:1891304424
Name:ACCOUNTABILITY IN REHABILITATIVE AND RESTORATIVE TREATMENT LLC
Entity Type:Organization
Organization Name:ACCOUNTABILITY IN REHABILITATIVE AND RESTORATIVE TREATMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-263-0147
Mailing Address - Street 1:2851 S PARKER RD STE 430
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2802
Mailing Address - Country:US
Mailing Address - Phone:720-263-0147
Mailing Address - Fax:303-648-6848
Practice Address - Street 1:2851 S PARKER RD STE 430
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2802
Practice Address - Country:US
Practice Address - Phone:720-263-0147
Practice Address - Fax:303-648-6848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1093034639Medicaid
CO1851877492Medicaid
CO1730264466Medicaid
CO1801204441Medicaid