Provider Demographics
NPI:1780263012
Name:PATHFINDERS RECOVERY CENTER COLORADO, LLC
Entity type:Organization
Organization Name:PATHFINDERS RECOVERY CENTER COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-377-7326
Mailing Address - Street 1:7580 E GRAY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3408
Mailing Address - Country:US
Mailing Address - Phone:602-367-6727
Mailing Address - Fax:
Practice Address - Street 1:14509 E EVANS PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1537
Practice Address - Country:US
Practice Address - Phone:855-728-4363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATHFINDERS RECOVERY CENTER COLORADO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility