| Colorado Recovery Llc | |
|
2818 13th St Boulder CO 80304 | |
| (303) 440-5140 | |
| (303) 440-5144 |
| Full Name | Colorado Recovery Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 2818 13th St, Boulder, Colorado |
| Authorized Official Name and Position | Richard Warner Warner (DIRECTOR) |
| Authorized Official Contact | 3034405140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Recovery Llc 2818 13th St Boulder CO 80304 Ph: (303) 440-5140 | Colorado Recovery Llc 2818 13th St Boulder CO 80304 Ph: (303) 440-5140 |
| NPI Number | 1962581140 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962581140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AL-0094 (Colorado) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | AL0094 (Colorado) | Primary |
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