Organization · NPI-2

A Life Worth Living

Substance Abuse Rehabilitation Facility · Fort Collins, CO

NPI number1316815467
StatusActive
Last updated in NPPESOct 31, 2025

Details

NPI
1316815467
Entity type
Organization (NPI-2)
Legal business name
A Life Worth Living
Organization subpart
No
Enumeration date
Oct 29, 2025
Certification date
Oct 31, 2025
Last updated
Oct 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––
261QM1300X Clinic/Center, Multi-Specialty––
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

1225 Redwood St
Fort Collins, CO 80524-2052

Phone 970-484-2023 · Fax 866-867-8553

Mailing address

1225 Redwood St
Fort Collins, CO 80524-2052

Phone 970-484-2023 · Fax 866-867-8553

Authorized official

Glen Petcavage
Executive Director
9704842023

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