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Organization
ANTELOPE RECOVERY LLC
Active
Organization
ANTELOPE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY ROBBINS (FOUNDER)
(303) 476-1488
Entity
Organization
Contact information
Practice address
1035 PEARL STREET, SUITE 313, BOULDER, CO 80302
(303) 476-1488
Mailing address
1035 PEARL ST STE 313, BOULDER, CO 80302-5130
(303) 476-1488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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