Provider Demographics
NPI:1386161180
Name:GEO REENTRY SERVICES
Entity type:Organization
Organization Name:GEO REENTRY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:303-842-3632
Mailing Address - Street 1:1359 COURT PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2108
Mailing Address - Country:US
Mailing Address - Phone:303-832-1144
Mailing Address - Fax:
Practice Address - Street 1:1359 COURT PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2108
Practice Address - Country:US
Practice Address - Phone:303-842-3632
Practice Address - Fax:303-842-3632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1280-00OtherOFFICE OF BEHAVIORAL HEALTH
CO1280-04OtherOFFICE OF BEHAVIORAL HEALTH
CO1280-03OtherOFFICE OF BEHAVIORAL HEALTH
CO1280-01OtherOFFICE OF BEHAVIORAL HEALTH