| Lake Recovery Center | |
|
1330 Quail Lake Loop Suite 200 Colorado Springs CO 80906-4651 | |
| (719) 465-5000 | |
| Not Available |
| Full Name | Lake Recovery Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1330 Quail Lake Loop, Colorado Springs, Colorado |
| Authorized Official Name and Position | Brian Duncan (CEO) |
| Authorized Official Contact | 4194655000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Recovery Center 1330 Quail Lake Loop Suite 200 Colorado Springs CO 80906-4651 Ph: (719) 465-5000 | Lake Recovery Center 1330 Quail Lake Loop Suite 200 Colorado Springs CO 80906-4651 Ph: (719) 465-5000 |
| NPI Number | 1578999199 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 09/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578999199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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