Life Recovery Center | |
2425 S Colorado Blvd Ste 150 Denver CO 80222-5943 | |
(720) 398-9280 | |
(720) 440-9638 |
Full Name | Life Recovery Center |
---|---|
Speciality | Community/behavioral Health |
Location | 2425 S Colorado Blvd Ste 150, Denver, Colorado |
Authorized Official Name and Position | Jose Alejandro Castro (PRESIDENT) |
Authorized Official Contact | 3036673154 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Recovery Center 10699 Melody Dr Ste 2 Northglenn CO 80234-4131 Ph: (303) 252-4179 | Life Recovery Center 2425 S Colorado Blvd Ste 150 Denver CO 80222-5943 Ph: (720) 398-9280 |
NPI Number | 1518592146 |
---|---|
Provider Enumeration Date | 03/04/2020 |
Last Update Date | 12/23/2021 |
Certification Date | 12/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518592146 | NPI | - | NPPES |
9000181296 | Medicaid | CO | |
1528-05 | Other | CO | DEPT. OF HUMAN SERVICES OFFICE OF BEHAVIORAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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