Provider Demographics
NPI:1811241151
Name:FIRE MOUNTAIN RESIDENTIAL TREATMENT CENTER, INC.
Entity type:Organization
Organization Name:FIRE MOUNTAIN RESIDENTIAL TREATMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HUEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-443-3343
Mailing Address - Street 1:5532 US HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-8834
Mailing Address - Country:US
Mailing Address - Phone:303-443-3343
Mailing Address - Fax:970-577-3506
Practice Address - Street 1:5532 US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-8834
Practice Address - Country:US
Practice Address - Phone:303-443-3343
Practice Address - Fax:970-577-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children