OrganizationActive
Boulder Integrated Health LLC
NPI 1376093898 · Substance Abuse Rehabilitation Facility · Boulder, CO
Provider details
- NPI number
- 1376093898
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Wilson, Business Office Manager(720) 739-6500
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2429 Broadway St
Boulder, CO 80304-4108
Phone: (720) 739-6500
Fax: (720) 204-3930
Approximate (ZIP-level) locationGet directions
Mailing address
2429 Broadway St
Boulder, CO 80304-4108
Other names (DBA / former)
- Doing business as
- Bolder Life
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2021-09-10
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.