| Life Recovery Center | |
|
11658 Huron St Suite 400 Northglenn CO 80234-2919 | |
| (303) 252-4179 | |
| (303) 252-4186 |
| Full Name | Life Recovery Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11658 Huron St, Northglenn, Colorado |
| Authorized Official Name and Position | James Edward Monaghan (FOUNDER/LEAD CLINICIAN) |
| Authorized Official Contact | 3032524179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Recovery Center 11658 Huron St Suite 400 Northglenn CO 80234-2919 Ph: (303) 252-4179 | Life Recovery Center 11658 Huron St Suite 400 Northglenn CO 80234-2919 Ph: (303) 252-4179 |
| NPI Number | 1629343413 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629343413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | #ACD-226 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | #LPC-6108 (Colorado) | Primary |
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