OrganizationActive
A Life Worth Living
NPI 1316815467 · Substance Abuse Rehabilitation Facility · Fort Collins, CO
Provider details
- NPI number
- 1316815467
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Glen Petcavage, Executive Director(970) 484-2023
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Practice location
1225 Redwood St
Fort Collins, CO 80524-2052
Phone: (970) 484-2023
Fax: (866) 867-8553
Approximate (ZIP-level) locationGet directions
Mailing address
1225 Redwood St
Fort Collins, CO 80524-2052
Registry dates
- Enumerated
- 2025-10-29
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.