| Tribe Recovery Services, Inc | |
|
2043 Pearl St Boulder CO 80302-4429 | |
| (720) 608-7423 | |
| Not Available |
| Full Name | Tribe Recovery Services, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2043 Pearl St, Boulder, Colorado |
| Authorized Official Name and Position | Thomas Hernandez (CEO/FOUNDER) |
| Authorized Official Contact | 7206087423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribe Recovery Services, Inc 3482 Broadway St Boulder CO 80304-1824 Ph: (720) 608-7423 | Tribe Recovery Services, Inc 2043 Pearl St Boulder CO 80302-4429 Ph: (720) 608-7423 |
| NPI Number | 1891434916 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891434916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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