OrganizationActive
Boulder County Public Health
NPI 1063702421 · Substance Abuse Rehabilitation Facility · Longmont, CO
Provider details
- NPI number
- 1063702421
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Stehanie Martz, Director of Administrative Services(303) 441-1142
- License
- 1001 (CO)
Specialties & taxonomies
Residential Treatment Facilities
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
529 Coffman St Ste 200
Longmont, CO 80501-5450
Phone: (303) 441-1290
Fax: (303) 441-1286
Street-level locationGet directions
Mailing address
3450 Broadway St
Boulder, CO 80304-1824
Registry dates
- Enumerated
- 2011-04-19
- Last updated
- 2011-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.